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Pettis Chiropractic
Chiropractor in Eagan, Minnesota
NPI 1316115934

Pettis Chiropractic is a Chiropractor based in Eagan, MN. Pettis Chiropractic practices in Eagan, MN. The NPI Number for Pettis Chiropractic is 1316115934 and holds a License No. 4807 (Minnesota).

The current practice location address for Pettis Chiropractic is 1570 Century Pt, Eagan, MN and can be reached out via phone at 651-261-1923 and via fax at 651-405-6627.

Location: 1570 Century Pt, Eagan, MN, 55121-1926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316115934
Provider Name
Pettis Chiropractic
Credential
Provider Entity Type
Organization
Address
1570 Century Pt, Eagan, MN, 55121-1926
Phone Number
651-261-1923
Fax Number
651-405-6627
Provider Enumeration Date
02/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
996698000 05 MN
274N4PE 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
1570 Century Pt
City
Eagan
State
Minnesota
Zip
55121-1926
Phone Number
651-261-1923
Fax Number
651-405-6627
person
Provider Business Mailing Address Details
Address
1570 Century Pt
City
Eagan
State
Minnesota
Zip
55121-1926
Phone Number
651-261-1923
Fax Number
651-405-6627
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4807 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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