| Peak Potential Family Chiropractic Pllc | |
|
16190 Highway 7, Minnetonka, MN 55345-3403 | |
| (952) 582-1172 | |
| Not Available |
| Full Name | Peak Potential Family Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 16190 Highway 7, Minnetonka, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053845727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Julia V Roth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336687979 PECOS PAC ID: 6507143864 Enrollment ID: I20170516000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Potential Family Chiropractic Pllc 16190 Highway 7, Minnetonka, MN 55345-3403 Ph: (952) 582-1172 | Peak Potential Family Chiropractic Pllc 16190 Highway 7, Minnetonka, MN 55345-3403 Ph: (952) 582-1172 |
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