Augustine Sports and Family Chiropractic LLC
NPI #1912304627 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1912304627
- Entity Type
- Organization
- Organization Name
- Augustine Sports and Family Chiropractic LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 24, 2014
- Last Updated
- Apr 27, 2015
Practice Location
- Address
- 1025 SELBY AVE
- Address 2
- SUITE 101
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104-6533
- Phone
- (651) 228-9000
Authorized Official
- Name
- TRISHA LEE AUGUSTINE, D.C.
- Title
- MANAGING MEMBER
- Phone
- (952) 220-2857
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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