Healthcare Provider Details
I. General information
NPI: 1306592829
Provider Name (Legal Business Name): ALWAYS IN MOTION CHIROPRACTIC AND WELLNESS, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2022
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1235 S POKEGAMA AVE STE 17
GRAND RAPIDS MN
55744-4208
US
IV. Provider business mailing address
1235 S POKEGAMA AVE STE 17
GRAND RAPIDS MN
55744-4208
US
V. Phone/Fax
- Phone: 612-741-5181
- Fax:
- Phone: 612-741-5181
- 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:
BRYAN
JULIAN-CLIFFORD
BELCHER
Title or Position: PRESIDENT
Credential: DC
Phone: 612-741-5181