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Dr. Kenneth Leo Thiele, DC
Chiropractor in Mankato, Minnesota
NPI 1356425367

Kenneth Leo Thiele is a Chiropractor based in Mankato, MN. Kenneth Leo Thiele practices in Mankato, MN and has the professional credentials of DC. The NPI Number for Kenneth Leo Thiele is 1356425367 and holds a License No. 1375 (Minnesota).

The current practice location address for Kenneth Leo Thiele is 430 South Broad St, Mankato, MN and can be reached out via phone at 507-387-5591 and via fax at 507-387-5397.

Location: 430 South Broad St, Mankato, MN, 56001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356425367
Provider Name
Kenneth Leo Thiele
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
430 South Broad St, Mankato, MN, 56001
Phone Number
507-387-5591
Fax Number
507-387-5397
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
788725600 05 MN
institution
Provider Business Practice Location Address Details
Address
430 South Broad St
City
Mankato
State
Minnesota
Zip
56001
Phone Number
507-387-5591
Fax Number
507-387-5397
person
Provider Business Mailing Address Details
Address
430 South Broad St
City
Mankato
State
Minnesota
Zip
56001
Phone Number
507-387-5591
Fax Number
507-387-5397
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1375 (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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