Organization Name: | KATO FAMILY CHIROPRACTIC PA |
NPI Number: | 1912366030 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA ELIZABETH PRYBYLLA (DOCTOR OF CHIROPRACTIC/OWNER) |
Mailing Address: | 106 E Blue Earth St Lake Crystal |
State: | MN US |
Postal Code: | 560552441 |
Phone Number: | 5074695416 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2016 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 3877 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |