Marty Chiropractic & Wellness LLC

NPI #1043761133 in Lakeville, Minnesota

Provider Information

NPI Number: 1043761133
Entity Type: Organization
Organization Name: Marty Chiropractic & Wellness LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 24, 2016
Last Updated: Oct 24, 2016

Practice Location

Address: 18476 KENRICK AVE
Address 2: SUITE 201
City: Lakeville
State: Minnesota
ZIP Code: 55044-9288
Phone: (612) 440-5776

Authorized Official

Name: DR. JEREMY GLEN MARTY, D.C.
Title: OWNER/CHIROPRACTOR
Phone: (612) 440-5776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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