Pure Life Chiropractic and Wellness Center, Ltd

NPI #1225309248 in Glencoe, Minnesota

Provider Information

NPI Number
1225309248
Entity Type
Organization
Organization Name
Pure Life Chiropractic and Wellness Center, Ltd
Primary Specialty
Point of Service
Enumeration Date
Jan 23, 2012
Last Updated
Jan 23, 2012

Practice Location

Address
920 10TH ST E
ZIP Code
55336-2301
Phone
(320) 864-6249

Authorized Official

Name
DR. NICHOLAS RYAN JOHNSON, D.C.
Title
PRESIDENT/OWNER
Phone
(320) 864-6249

Specialties & Taxonomy Codes

Specialty
Point of Service

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