Provider Demographics
NPI:1740690353
Name:DIMENSIONS CHIROPRACTIC AND WELLNESS
Entity type:Organization
Organization Name:DIMENSIONS CHIROPRACTIC AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-670-9144
Mailing Address - Street 1:11309 TOLEDO AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMPLIN
Mailing Address - State:MN
Mailing Address - Zip Code:55316-3570
Mailing Address - Country:US
Mailing Address - Phone:763-670-9144
Mailing Address - Fax:
Practice Address - Street 1:11309 TOLEDO AVE
Practice Address - Street 2:
Practice Address - City:CHAMPLIN
Practice Address - State:MN
Practice Address - Zip Code:55316-3570
Practice Address - Country:US
Practice Address - Phone:763-670-9144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5940111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty