Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 6420 | MN |
NPI | 1003328170 |
---|---|
Provider Name | Dr. Taylor Meyers |
First Address | Minneapolis, MN 55408-2109 |
Second Address | Minneapolis, MN 55408-2109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2017 |
Last Update Date | 30/10/2017 |