Healthcare Provider Details

I. General information

NPI: 1811125362
Provider Name (Legal Business Name): KATIE LOUISE AUNE ELMORE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2009
Last Update Date: 06/23/2024
Certification Date: 06/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 3RD ST SE STE A
KASSON MN
55944
US

IV. Provider business mailing address

603 3RD ST SE STE A
KASSON MN
55944
US

V. Phone/Fax

Practice location:
  • Phone: 507-534-7288
  • Fax: 507-634-7290
Mailing address:
  • Phone: 507-634-7288
  • Fax: 507-634-7290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5213
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: