Eagle Creek Chiropractic

NPI #1073847554 in Prior Lake, Minnesota

Provider Information

NPI Number: 1073847554
Entity Type: Organization
Organization Name: Eagle Creek Chiropractic
Subpart: Yes (part of a larger organization)
Parent Organization: EAGLE CREEK CHIROPRACTIC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 30, 2009
Last Updated: Sep 30, 2009

Practice Location

Address: 14180 COMMERCE AVE NE
City: Prior Lake
State: Minnesota
ZIP Code: 55372-1483
Phone: (952) 447-3395

Authorized Official

Name: JENNA KANITZ
Title: OFFICE MANAGER
Phone: (952) 447-3395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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