Cannon Valley Chiropractic,Llc in Cannon Falls - Sports Physician

Cannon Valley Chiropractic,Llc - NPI 1194809863

Cannon Valley Chiropractic,Llc is a Sports Physician in Cannon Falls, Minnesota. Cannon Valley Chiropractic,Llc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Cannon Valley Chiropractic,Llc is 1194809863. The last update date is 2020-08-22.

Cannon Valley Chiropractic,Llc's current location address is 6505 Cedar Hills Dr, Cannon Falls, Minnesota. You can contact this provider via phone number 5072633925 and fax number 5072635065. The mailing address for Cannon Valley Chiropractic,Llc is 6505 Cedar Hills Dr, Cannon Falls, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cannon Valley Chiropractic,Llc
Address 6505 Cedar Hills Dr, Cannon Falls, Minnesota
Phone Number 5072633925
Fax Number 5072635065
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/DOCT
Authorized Official Name Maki August Matthew
Credentials D.C.
Telephone Number 5072633925

NPI Number Detail

NPI Number 1194809863
Provider Enumeration Date 2006-10-25
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 6505 Cedar Hills Dr
City Cannon Falls
State Minnesota (MN)
Post Code 550094253
Phone Number 5072633925
Fax Number 5072635065

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 4074
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
01N79CA MN BLUE CROSS/BLUE SHIELD

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FAQs about Cannon Valley Chiropractic,Llc

What is the Cannon Valley Chiropractic,Llc's 1194809863?

The Cannon Valley Chiropractic,Llc's NPI (National Provider Identifier) Number is 1194809863. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Cannon Valley Chiropractic,Llc's facilities are situated?

The facilities of Cannon Valley Chiropractic,Llc are physically located at the following address: 6505 Cedar Hills Dr, Cannon Falls, MN, 550094253.

What is the Cannon Valley Chiropractic,Llc's specialty and taxonomy code?

The Cannon Valley Chiropractic,Llc's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.

On what date did the Centers for Medicare & Medicaid Services assign the 1194809863 to Cannon Valley Chiropractic,Llc?

The Centers for Medicare & Medicaid Services assigned the 1194809863 to Cannon Valley Chiropractic,Llc on 2006-10-25.

As of what date were the details pertaining to Cannon Valley Chiropractic,Llc last refreshed?

The information related to the Cannon Valley Chiropractic,Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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