Healthcare Provider Details

I. General information

NPI: 1104301720
Provider Name (Legal Business Name): CHIROSERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2018
Last Update Date: 09/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5509 EDEN PRAIRIE RD
MINNETONKA MN
55345-5839
US

IV. Provider business mailing address

8942 XERXES CIR S
BLOOMINGTON MN
55431-1961
US

V. Phone/Fax

Practice location:
  • Phone: 952-446-7177
  • Fax: 952-223-1134
Mailing address:
  • Phone: 952-484-2176
  • Fax: 952-223-1134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL A PFISTERER
Title or Position: OWNER
Credential: DC
Phone: 952-484-2176