Provider Demographics
NPI:1215186846
Name:PRECISION CHIROPRACTIC PA
Entity type:Organization
Organization Name:PRECISION CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SANDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-287-6041
Mailing Address - Street 1:2518 SUPERIOR DR NW
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-1988
Mailing Address - Country:US
Mailing Address - Phone:507-287-6041
Mailing Address - Fax:507-287-6438
Practice Address - Street 1:2518 SUPERIOR DR NW
Practice Address - Street 2:SUITE 101B
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-1988
Practice Address - Country:US
Practice Address - Phone:507-287-6041
Practice Address - Fax:507-287-6438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3017261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center