| Align Chiropractic Pa | |
|
16301 Kenrick Ave, Lakeville, MN 55044-8494 | |
| (952) 594-3137 | |
| Not Available |
| Full Name | Align Chiropractic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 16301 Kenrick Ave, Lakeville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679098172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6379 (Minnesota) | Primary |
| Provider Name | Cody Rodewald |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952826455 PECOS PAC ID: 5496028615 Enrollment ID: I20170908002626 |
| Provider Name | Lucas Emmerich |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841881307 PECOS PAC ID: 5991110728 Enrollment ID: I20210209000803 |
| Provider Name | Tyler Kruse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699435461 PECOS PAC ID: 0446612899 Enrollment ID: I20240425000824 |
| Mailing Address | Practice Location Address |
|---|---|
| Align Chiropractic Pa 16301 Kenrick Ave, Lakeville, MN 55044-8494 Ph: (952) 594-3137 | Align Chiropractic Pa 16301 Kenrick Ave, Lakeville, MN 55044-8494 Ph: (952) 594-3137 |
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