Organization
PEABODY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY PEABODY (OWNER/CHIROPRACTOR)
(218) 237-1770
Entity
Organization
Contact information
Practice address
1000 1ST ST E, PARK RAPIDS, MN 56470-1827
(218) 237-1770
Mailing address
1000 1ST ST E, PARK RAPIDS, MN 56470-1827
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74B15PE
BLUE CROSS/ BLUE SHIELD O
MN
Enumeration date
07/27/2007
Last updated
07/27/2007
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