| Essentials Of Life Chiropractic, Ltd | |
|
1777 Bunker Lake Blvd Nw Suite 200 Andover MN 55304-4008 | |
| (763) 413-6934 | |
| (763) 450-3101 |
| Full Name | Essentials Of Life Chiropractic, Ltd |
|---|---|
| Speciality | Clinic/center |
| Location | 1777 Bunker Lake Blvd Nw, Andover, Minnesota |
| Authorized Official Name and Position | Tony Lawther (OWNER) |
| Authorized Official Contact | 7634136934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentials Of Life Chiropractic, Ltd 1777 Bunker Lake Blvd Nw Suite 200 Andover MN 55304-4008 Ph: (763) 413-6934 | Essentials Of Life Chiropractic, Ltd 1777 Bunker Lake Blvd Nw Suite 200 Andover MN 55304-4008 Ph: (763) 413-6934 |
| NPI Number | 1780814806 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 02/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780814806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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