LIFELINE CHIROPRACTIC P.A. NPI 1578621710

NPI Information

LIFELINE CHIROPRACTIC , P.A. is a chiropractor in Woodbury, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. LIFELINE CHIROPRACTIC , P.A. NPI is 1578621710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2165 WOODLANE DR
SUITE 102
WOODBURY, MN
ZIP 55125-915
Phone: (651) 735-9353
Fax: (651) 735-8282

The provider's authorized official is Scott Durick Hansen .
The authorized official title is President and has the following contact phone number (651) 735-9353.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 9/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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