| Pivotal Chiropractic & Wellness Pllc | |
|
1600 Madison Ave Ste 112, Mankato, MN 56001-5470 | |
| (507) 401-2650 | |
| Not Available |
| Full Name | Pivotal Chiropractic & Wellness Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1600 Madison Ave Ste 112, Mankato, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699321638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Tucker Joseph Baumann |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942638267 PECOS PAC ID: 2365675097 Enrollment ID: I20140505001916 |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Chiropractic & Wellness Pllc 1600 Madison Ave Ste 112, Mankato, MN 56001-5470 Ph: (507) 401-2650 | Pivotal Chiropractic & Wellness Pllc 1600 Madison Ave Ste 112, Mankato, MN 56001-5470 Ph: (507) 401-2650 |
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