Healthcare Provider Details

I. General information

NPI: 1144043944
Provider Name (Legal Business Name): ALLISON FLEMING DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 11/01/2024
Certification Date: 10/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8360 CITY CENTRE DR STE 100
WOODBURY MN
55125-3381
US

IV. Provider business mailing address

7689 HARDWOOD AVE S APT 210
COTTAGE GROVE MN
55016-4234
US

V. Phone/Fax

Practice location:
  • Phone: 651-459-3171
  • Fax: 651-768-5059
Mailing address:
  • Phone: 563-508-7997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7276
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: