Provider Demographics
NPI:1194814236
Name:ANDREWS FAMILY CHIROPRACTIC CLINIC PA
Entity Type:Organization
Organization Name:ANDREWS FAMILY CHIROPRACTIC CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAWNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-345-1926
Mailing Address - Street 1:285 SAINT ANDREWS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-8670
Mailing Address - Country:US
Mailing Address - Phone:507-345-1926
Mailing Address - Fax:
Practice Address - Street 1:285 SAINT ANDREWS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-8670
Practice Address - Country:US
Practice Address - Phone:507-345-1926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty