Healthcare Provider Details
I. General information
NPI: 1376284372
Provider Name (Legal Business Name): GARRISON FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/05/2022
Last Update Date: 04/05/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27180 ALLEN RD SUITE 1
GARRISON MN
56450
US
IV. Provider business mailing address
PO BOX 375
GARRISON MN
56450-0375
US
V. Phone/Fax
- Phone: 605-254-6269
- Fax:
- Phone: 605-254-6269
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CORRI
ANNE
SEHR
Title or Position: OWNER
Credential: DC
Phone: 605-254-6269