| Club West Chiropractic Pa | |
|
10950 Club West Pkwy Ste 190, Blaine, MN 55449-5862 | |
| (763) 400-4940 | |
| Not Available |
| Full Name | Club West Chiropractic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 10950 Club West Pkwy Ste 190, Blaine, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427447432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Alycean Maryrae Bergh |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326436064 PECOS PAC ID: 5890013411 Enrollment ID: I20150410002392 |
| Provider Name | Ryan William Waddell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063800704 PECOS PAC ID: 8921326471 Enrollment ID: I20150413000981 |
| Provider Name | Samantha Rose Rothbauer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932692902 PECOS PAC ID: 3274876990 Enrollment ID: I20190521003168 |
| Provider Name | Jena M Kocur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215567367 PECOS PAC ID: 3678909553 Enrollment ID: I20200213000294 |
| Provider Name | Dylan M Teske |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083351886 PECOS PAC ID: 0345624946 Enrollment ID: I20220831001598 |
| Mailing Address | Practice Location Address |
|---|---|
| Club West Chiropractic Pa 10950 Club West Pkwy Ste 190, Blaine, MN 55449-5862 Ph: (763) 400-4940 | Club West Chiropractic Pa 10950 Club West Pkwy Ste 190, Blaine, MN 55449-5862 Ph: (763) 400-4940 |
Dr. Rebecca R Jackson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12203 Aberdeen St Ne Ste 140, Blaine, MN 55449 Phone: 763-785-4120 Fax: 763-785-4172 | |
Healthsource Of Blaine Chiropractic & Progressive Rehab Chiropractor Medicare: Medicare Enrolled Practice Location: 10904 Baltimore St Ne, Ste 103, Blaine, MN 55449 Phone: 763-205-3781 | |
Club West Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10995 Club West Pkwy, Suite 400, Blaine, MN 55449 Phone: 763-400-4940 Fax: 763-634-8580 | |
Elevated Health Center Chiropractor Medicare: Medicare Enrolled Practice Location: 10705 Town Square Dr Ne, Ste 220, Blaine, MN 55449 Phone: 651-216-1997 | |
Lance Maki, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 607 County Road 10 Ne, Suite 104, Blaine, MN 55434 Phone: 763-432-3921 | |
Dr. Ryan William Waddell, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 10995 Club West Pkwy Ste 400, Blaine, MN 55449 Phone: 763-400-4940 | |
Maki Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 607 County Road 10 Ne, Suite 104, Blaine, MN 55434 Phone: 763-432-3921 |