Provider Demographics
NPI:1225203185
Name:TAFFE CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:TAFFE CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAFFE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-239-2938
Mailing Address - Street 1:1312 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-1780
Mailing Address - Country:US
Mailing Address - Phone:952-239-2938
Mailing Address - Fax:
Practice Address - Street 1:14135 CEDAR AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-4522
Practice Address - Country:US
Practice Address - Phone:952-432-5550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5113111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty