| Legacy Family Chiropractic | |
|
171 7th Ave S, Waite Park, MN 56387-1362 | |
| (320) 744-1013 | |
| Not Available |
| Full Name | Legacy Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 171 7th Ave S, Waite Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003390063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Tyler Tonderum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487135422 PECOS PAC ID: 8820341324 Enrollment ID: I20181031000924 |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Family Chiropractic 50 10th Ave S, Waite Park, MN 56387-1055 Ph: (320) 774-1013 | Legacy Family Chiropractic 171 7th Ave S, Waite Park, MN 56387-1362 Ph: (320) 744-1013 |
Jennifer Bestick Dc, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 750 1st St S Ste 103, Waite Park, MN 56387 Phone: 320-420-1204 | |
Family First Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 79 10th Ave S, Waite Park, MN 56387 Phone: 320-259-9099 Fax: 320-529-9199 | |
Chiropractic Connection Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2103 Frontage Rd N, #19, Waite Park, MN 56387 Phone: 320-252-2703 Fax: 320-229-2647 | |
Complete Chiropractic Clinic Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 304 4th Ave Ne # 3, Waite Park, MN 56387 Phone: 320-251-0766 Fax: 320-251-8295 | |
Archetype Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 71 10th Ave S, Waite Park, MN 56387 Phone: 320-259-9099 | |
Legacy Family Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 171 7th Ave S, Waite Park, MN 56387 Phone: 320-774-1013 Fax: 320-774-1016 |