Whalio Doctors

NPI 1033348875

Potential Health PA

Organisation Chiropractor Mankato, MN

Practice location

Address
309 Madison Ave, Mankato, MN 56001-3310
Phone
(507) 387-5978
Fax
(507) 387-2563

Authorised official

Name
Randy John Mages
Title
Doctor of Chiropractic
Phone
(507) 387-5978

Registered specialties

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence 5154 (MN)

Registry record

NPI
1033348875
Entity type
Organization
NPI issued
14 Jul 2009
Record last updated
14 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.