Organization
LIVE WELL CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DAVIS DC (OWNER)
(121) 454-5483
Entity
Organization
Contact information
Practice address
315 E RIVER RD, BRAINERD, MN 56401-3503
(218) 454-5483
(218) 454-5484
Mailing address
315 E RIVER RD, BRAINERD, MN 56401-3503
(218) 454-5483
(218) 454-5484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3549
MN
225100000X
Physical Therapist
Primary
6561
MN
Other
Enumeration date
04/22/2014
Last updated
06/02/2014
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