Organization
RESTORE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE TRONTVET DC (OWNER)
(612) 516-3090
Entity
Organization
Contact information
Practice address
15507 GROVE CIR N, MAPLE GROVE, MN 55369-4488
(612) 516-3090
Mailing address
15507 GROVE CIR N, MAPLE GROVE, MN 55369-4488
(612) 516-3090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6373
MN
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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