Organization
TWIN CITIES SPINE & SPORTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN CLARE DC (OWNER)
(612) 520-1823
Entity
Organization
Contact information
Practice address
4510 W 77TH ST, SUITE 222, EDINA, MN 55435-5505
(612) 520-1823
Mailing address
4510 W 77TH ST, SUITE 222, EDINA, MN 55435-5505
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5856
MN
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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