Active Family Chiropractic

NPI #1407047582 in Plymouth, Minnesota

Provider Information

NPI Number: 1407047582
Entity Type: Organization
Organization Name: Active Family Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Aug 5, 2007
Last Updated: Jan 11, 2008

Practice Location

Address: 3390 ANNAPOLIS LN N STE C
City: Plymouth
State: Minnesota
ZIP Code: 55447-5379
Phone: (763) 553-0387

Authorized Official

Name: DR. LORI KRISTINE GOODSELL, D.C.
Title: PRESIDENT
Phone: (763) 553-0387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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