Pettis Chiropractic

NPI #1316115934 in Eagan, Minnesota

Provider Information

NPI Number: 1316115934
Entity Type: Organization
Organization Name: Pettis Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Feb 16, 2008
Last Updated: Jun 19, 2008

Practice Location

Address: 1570 CENTURY PT
City: Eagan
State: Minnesota
ZIP Code: 55121-1926
Phone: (651) 261-1923

Authorized Official

Name: JAY PETTIS, D.C.
Title: OWNER/CHIROPRACTOR
Phone: (651) 261-1923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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