Institute for Chiropractic Rehabilitation PA
NPI #1922242627 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1922242627
- Entity Type
- Organization
- Organization Name
- Institute for Chiropractic Rehabilitation PA
- Primary Specialty
- Chiropractor
- Enumeration Date
- Apr 24, 2009
- Last Updated
- Apr 24, 2009
Practice Location
- Address
- 8200 HUMBOLDT AVE S STE 204
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-1432
- Phone
- (952) 884-6144
Authorized Official
- Name
- DR. JASON MICHAEL FREDERICKS, DC
- Title
- PRESIDENT
- Phone
- (952) 884-6144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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