Marty Chiropractic-Excelsior INC

NPI #1003830787 in Excelsior, Minnesota

Provider Information

NPI Number: 1003830787
Entity Type: Organization
Organization Name: Marty Chiropractic-Excelsior INC
Primary Specialty: Chiropractor
Enumeration Date: Jul 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 464 SECOND STREET
Address 2: SUITE 200
City: Excelsior
State: Minnesota
ZIP Code: 55331
Phone: (952) 474-4121

Authorized Official

Name: PHILLIP MARK MARTY, DC
Title: PRESIDENT & CHIEF EXECUTIVE OFFICIE
Phone: (952) 474-4121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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