Provider Demographics
NPI:1407800592
Name:YLITALO, CHRISTINA JO (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:JO
Last Name:YLITALO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:JO
Other - Last Name:HELMINEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3249 ZANE AVE N
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55422-2545
Mailing Address - Country:US
Mailing Address - Phone:763-772-7704
Mailing Address - Fax:
Practice Address - Street 1:3900 VINEWOOD LN N
Practice Address - Street 2:SUITE 19
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-1155
Practice Address - Country:US
Practice Address - Phone:763-559-9236
Practice Address - Fax:763-559-7486
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor