Provider Demographics
NPI:1821389347
Name:NEAL, CRYSTAL (DC)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:NEAL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6712 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-2440
Mailing Address - Country:US
Mailing Address - Phone:208-283-4222
Mailing Address - Fax:
Practice Address - Street 1:5250 W 74TH ST STE 8
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2229
Practice Address - Country:US
Practice Address - Phone:612-562-8656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor