NPI 1043761133

Marty Chiropractic & Wellness LLC

Organisation Chiropractor Lakeville, MN

Practice location

Address: 18476 Kenrick Ave Suite 201, Lakeville, MN 55044-9288
Phone: (612) 440-5776
Fax: (952) 236-6732

Authorised official

Name: Jeremy Glen Marty
Title: Owner/Chiropractor
Phone: (612) 440-5776

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 6189 (MN)

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Registry record

NPI: 1043761133
Entity type: Organization
NPI issued: 24 Oct 2016
Record last updated: 24 Oct 2016

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.