| Mobility Agility Chiropractic Performance Psc | |
|
5275 Edina Industrial Blvd Ste 102 Edina MN 55439-2902 | |
| (612) 564-0595 | |
| Not Available |
| Full Name | Mobility Agility Chiropractic Performance Psc |
|---|---|
| Speciality | Clinic/center |
| Location | 5275 Edina Industrial Blvd Ste 102, Edina, Minnesota |
| Authorized Official Name and Position | Melissa Macdonald (OWNER) |
| Authorized Official Contact | 6125640595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobility Agility Chiropractic Performance Psc 5284 Greenfield Ave Apt 12 Saint Paul MN 55112-4962 Ph: (612) 564-0595 | Mobility Agility Chiropractic Performance Psc 5275 Edina Industrial Blvd Ste 102 Edina MN 55439-2902 Ph: (612) 564-0595 |
| NPI Number | 1669053757 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 04/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669053757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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