Organization
ALLIED WELLNESS PROFESSIONALS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW EARNEST HASTY D.C. (CHIEF MANAGER)
(651) 249-3816
Entity
Organization
Contact information
Practice address
2459 - 15TH STREET NW, SUITE A, NEW BRIGHTON, MN 55112-2345
(651) 249-3816
Mailing address
2459 - 15TH STREET NW, SUITE A, NEW BRIGHTON, MN 55112-2345
(651) 249-3816
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5152
MN
Other
Enumeration date
10/02/2014
Last updated
08/15/2018
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