Jla Corporation

NPI #1053615559 in St Louis Park, Minnesota

Provider Information

NPI Number: 1053615559
Entity Type: Organization
Organization Name: Jla Corporation
Primary Specialty: Chiropractor
Enumeration Date: Dec 27, 2010
Last Updated: Mar 15, 2012

Practice Location

Address: 5009 EXCELSIOR BLVD
City: St Louis Park
State: Minnesota
ZIP Code: 55416-3041
Phone: (612) 799-7982

Authorized Official

Name: DR. JONATHAN LEE ARNOLD, D.C.
Title: OWNER
Phone: (612) 799-7982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Chiropractor	111N00000X	Primary

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