Provider Demographics
NPI:1295913051
Name:TRUHEALTH FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:TRUHEALTH FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-457-2121
Mailing Address - Street 1:5300 S ROBERT TRL
Mailing Address - Street 2:700
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55077-1444
Mailing Address - Country:US
Mailing Address - Phone:651-457-2121
Mailing Address - Fax:651-457-5355
Practice Address - Street 1:5300 S ROBERT TRL
Practice Address - Street 2:700
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55077-1444
Practice Address - Country:US
Practice Address - Phone:651-457-2121
Practice Address - Fax:651-457-5355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5064261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center