NPI 1659665990

Back on Track, PLLC

Organisation Preferred Provider Organization Minneapolis, MN

Practice location

Address: 3128 Holmes Ave Upper, Minneapolis, MN 55408-2629
Phone: (612) 325-9935

Authorised official

Name: Jennifer Lee Heerdt
Title: Chiropractor
Phone: (612) 325-9935

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 5541 (MN)

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Registry record

NPI: 1659665990
Entity type: Organization
NPI issued: 3 Jun 2011
Record last updated: 6 Sep 2013

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.