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General NPI Number Information
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NPI Number | 1760673453
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC FAMILY CLINIC, P.A.
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 120 N AUGUSTA CT STE 105
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City | MANKATO
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State | MN
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Zip | 56001-7719
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Country | US
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Telephone | 507-344-8300
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Fax | 507-344-8334
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Provider Business Mailing Address
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Address Line | 120 N AUGUSTA CT STE 105
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City | MANKATO
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State | MN
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Zip | 56001-7719
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Country | US
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Telephone | 507-344-8300
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Fax | 507-344-8334
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Authorized Official
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Title or Position | PRES
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Name | DR. PARRISH TROY SKRIEN
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Credential | D.C.
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Telephone | 507-344-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3216
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License Number State | MN
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