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Functional Chiropractic Rehab, Pllc
Clinic/Center in Mankato, Minnesota
NPI 1073149779

Functional Chiropractic Rehab, Pllc is a Clinic/Center based in Mankato, MN. Functional Chiropractic Rehab, Pllc practices in Mankato, MN. The NPI Number for Functional Chiropractic Rehab, Pllc is 1073149779 and holds a License No. (Minnesota).

The current practice location address for Functional Chiropractic Rehab, Pllc is 1901 Madison Ave Ste 120, Mankato, MN and can be reached out via phone at 605-380-4364.

Location: 1901 Madison Ave Ste 120, Mankato, MN, 56001-6267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073149779
Provider Name
Functional Chiropractic Rehab, Pllc
Credential
Provider Entity Type
Organization
Address
1901 Madison Ave Ste 120, Mankato, MN, 56001-6267
Phone Number
605-380-4364
Fax Number
Provider Enumeration Date
03/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1326676412 01 MN NATIONAL PROVIDER IDENTIFIER
institution
Provider Business Practice Location Address Details
Address
1901 Madison Ave Ste 120
City
Mankato
State
Minnesota
Zip
56001-6267
Phone Number
605-380-4364
Fax Number
person
Provider Business Mailing Address Details
Address
1901 Madison Ave Ste 120
City
Mankato
State
Minnesota
Zip
56001-6267
Phone Number
605-380-4364
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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