Advanced Wellness & Sports Rehab PA
NPI #1790181915 in Champlin, Minnesota
Provider Information
- NPI Number
- 1790181915
- Entity Type
- Organization
- Organization Name
- Advanced Wellness & Sports Rehab PA
- Primary Specialty
- Chiropractor - Sports Physician
- Enumeration Date
- Nov 16, 2014
- Last Updated
- Mar 17, 2018
Practice Location
Authorized Official
- Name
- DR. DIANE K SMITH, DC
- Title
- PRESIDENT
- Phone
- (763) 458-6299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Sports Physician — Sports Physician |
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