Provider Demographics
NPI:1720347388
Name:SPLITTSTOESSER, ABBY R (DC)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:R
Last Name:SPLITTSTOESSER
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 1:3510 8TH ST NW
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-5927
Mailing Address - Country:US
Mailing Address - Phone:320-248-4418
Mailing Address - Fax:
Practice Address - Street 1:3510 8TH ST NW
Practice Address - Street 2:SUITE 300
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-5927
Practice Address - Country:US
Practice Address - Phone:320-248-4418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5666111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor