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NPI Profile for Dr JARRYD P IMOTO in WOODBURY, MN.
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Rehabilitation |
111NR0400X | 35 | Chiropractic |
| NPI # | 1669064895 |
|
| Status | Active | |
| Credentials | DC (Doctor of Chiropractic) | |
| Entity | Individual | |
| Enumeration date | 02/09/2021 | |
| Last updated | 05/20/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JARRYD P IMOTO
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JARRYD P IMOTO, DC