Provider Demographics
NPI:1376284372
Name:GARRISON FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:GARRISON FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CORRI
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SEHR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-254-6269
Mailing Address - Street 1:PO BOX 375
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:MN
Mailing Address - Zip Code:56450-0375
Mailing Address - Country:US
Mailing Address - Phone:605-254-6269
Mailing Address - Fax:
Practice Address - Street 1:27180 ALLEN RD
Practice Address - Street 2:SUITE 1
Practice Address - City:GARRISON
Practice Address - State:MN
Practice Address - Zip Code:56450
Practice Address - Country:US
Practice Address - Phone:605-254-6269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty