Family Tree Chiropractic Clinic in St Louis Park - Chiropractor
Family Tree Chiropractic Clinic - NPI 1497774640
Family Tree Chiropractic Clinic is a Chiropractor in St Louis Park, Minnesota. Family Tree Chiropractic Clinic practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Family Tree Chiropractic Clinic is 1497774640. The last update date is 2010-08-20.
Family Tree Chiropractic Clinic's current location address is 6311 Wayzata Blvd Ste 330, St Louis Park, Minnesota. You can contact this provider via phone number 9529300699 and fax number 9529336410. The mailing address for Family Tree Chiropractic Clinic is 6311 Wayzata Blvd Ste 330, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Tree Chiropractic Clinic |
|---|---|
| Address | 6311 Wayzata Blvd Ste 330, St Louis Park, Minnesota |
| Phone Number | 9529300699 |
| Fax Number | 9529336410 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Saterdalen J Alyssa |
| Credentials | D.C. |
| Telephone Number | 9526974044 |
NPI Number Detail
| NPI Number | 1497774640 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2010-08-20 |
Provider Mailing Address Detail
| Address | 6311 Wayzata Blvd Ste 330 |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554161288 |
| Phone Number | 9529300699 |
| Fax Number | 9529336410 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4546 |
|
Definition: 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 inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 530008000 | MN | -- | |
| 11N61FA | MN | BC/BS OF MINNESOTA | |
| 665914 | ACN PROVIDER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Family Tree Chiropractic Clinic by the Centers for Medicare & Medicaid Services?
The Family Tree Chiropractic Clinic has been issued the NPI (National Provider Identifier) 1497774640 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Family Tree Chiropractic Clinic is located?
The Family Tree Chiropractic Clinic is situated at the following address: 6311 Wayzata Blvd Ste 330, St Louis Park, MN, 554161288.
What is Family Tree Chiropractic Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Family Tree Chiropractic Clinic is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Family Tree Chiropractic Clinic receive the assignment of its 1497774640 from the Centers for Medicare & Medicaid Services?
The Family Tree Chiropractic Clinic was issued its 1497774640 by the Centers for Medicare & Medicaid Services on 2006-07-19.
As of what date were the details related to Family Tree Chiropractic Clinic most recently updated or revised?
The information pertaining to Family Tree Chiropractic Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2010-08-20.