Back to Life Natural Health Center

NPI #1073821260 in Crystal, Minnesota

Provider Information

NPI Number: 1073821260
Entity Type: Organization
Organization Name: Back to Life Natural Health Center
Primary Specialty: Chiropractor
Enumeration Date: Sep 22, 2010
Last Updated: Sep 22, 2010

Practice Location

Address: 2960 WINNETKA AVE N
Address 2: SUITE 110
City: Crystal
State: Minnesota
ZIP Code: 55427
Phone: (763) 546-3736

Authorized Official

Name: RONALD DENIS LEDOUX, DC
Title: OWNER/PRESIDENT
Phone: (763) 546-3736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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