Back On Your Feet Chiropractic, PA

NPI #1275843559 in Plymouth, Minnesota

Provider Information

NPI Number: 1275843559
Entity Type: Organization
Organization Name: Back On Your Feet Chiropractic, PA
Primary Specialty: Chiropractor
Enumeration Date: Oct 20, 2010
Last Updated: Oct 20, 2010

Practice Location

Address: 1115 VICKSBURG LN N
Address 2: STE 11
City: Plymouth
State: Minnesota
ZIP Code: 55447-3215
Phone: (612) 638-7339

Authorized Official

Name: DR. RANDY R JOHNSON, D.C.
Title: PRESIDENT
Phone: (612) 638-7339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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