Individual
DR. REBECCA KAY BRACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1444 147TH AVE NE, HAM LAKE, MN 55304-4971
(763) 208-5382
(763) 208-2911
Mailing address
1444 147TH AVE NE, HAM LAKE, MN 55304-4971
(763) 208-5382
(763) 208-2911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3365
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902935497
—
MN
05
—
265726100
—
MN
01
—
5C779BR
BLUE CROSS BLUE SHEILD
MN
Enumeration date
03/02/2007
Last updated
05/08/2018
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