Chiroport

NPI #1386010916 in Saint Paul, Minnesota

Provider Information

NPI Number: 1386010916
Entity Type: Organization
Organization Name: Chiroport
Primary Specialty: Chiropractor
Enumeration Date: Aug 18, 2015
Last Updated: Sep 22, 2015

Practice Location

Address: 1440 ARCADE ST STE C
City: Saint Paul
State: Minnesota
ZIP Code: 55106-1830
Phone: (651) 900-3562

Authorized Official

Name: DR. JACKSON LEE, D.C.
Title: DOCTOR OF CHIROPRACTIC
Phone: (651) 900-3562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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