Spine and Sport Chiropractic
NPI #1255549705 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1255549705
- Entity Type
- Organization
- Organization Name
- Spine and Sport Chiropractic
- Primary Specialty
- Chiropractor
- Enumeration Date
- May 18, 2007
- Last Updated
- May 8, 2019
Practice Location
- Address
- 1058 CURVE CREST BLVD W
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6056
- Phone
- (651) 439-6500
Authorized Official
- Name
- DARRICK A DIERKHISING, D.C.
- Title
- OWNER
- Phone
- (651) 439-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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