Healthcare Provider Details

I. General information

NPI: 1346494879
Provider Name (Legal Business Name): HEALING HANDS CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2008
Last Update Date: 11/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6135 KELLOGG AVE STE 225
EDINA MN
55424-1863
US

IV. Provider business mailing address

6135 KELLOGG AVE STE 225
EDINA MN
55424-1863
US

V. Phone/Fax

Practice location:
  • Phone: 952-922-9484
  • Fax:
Mailing address:
  • Phone: 952-922-9484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number2737
License Number StateMN

VIII. Authorized Official

Name: DR. TOLULOPE OYELOWO
Title or Position: CEO
Credential: D.C
Phone: 952-922-9484