Individual
DR. AMANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
12265 CENTRAL AVE NE STE 108, BLAINE, MN 55434-3998
(763) 757-8511
(763) 757-0140
Mailing address
12265 CENTRAL AVE NE STE 108, BLAINE, MN 55434-3998
(763) 757-8511
(763) 757-0140
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7088
MN
Other
Enumeration date
03/13/2023
Last updated
05/07/2024
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