| Northern Life Wellness | |
|
13955 W Preserve Blvd, Suite 200, Burnsville, MN 55337-7733 | |
| (952) 890-0804 | |
| (952) 808-1095 |
| Full Name | Northern Life Wellness |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 13955 W Preserve Blvd, Burnsville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912325325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3374 (Minnesota) | Primary |
| 225100000X | Physical Therapist | 8532 (Minnesota) | Secondary |
| Provider Name | Joseph E Sutcliffe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700907672 PECOS PAC ID: 2567410921 Enrollment ID: I20050119000191 |
| Provider Name | Jeffrey W Danielson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821006453 PECOS PAC ID: 7810971017 Enrollment ID: I20120206000438 |
| Provider Name | Carol K Hunt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134575582 PECOS PAC ID: 4284925306 Enrollment ID: I20160621001915 |
| Provider Name | Heather Nicole Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316323033 PECOS PAC ID: 3870853088 Enrollment ID: I20180208001421 |
| Provider Name | Bryan Julian-clifford Belcher |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558869883 PECOS PAC ID: 4587925383 Enrollment ID: I20180219000203 |
| Provider Name | Tanner Mark Tryggestad |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124616255 PECOS PAC ID: 4284049453 Enrollment ID: I20210222000128 |
| Provider Name | Samuel W Tindall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801405659 PECOS PAC ID: 0941618334 Enrollment ID: I20210423001900 |
| Provider Name | Brady David Rose |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285330563 PECOS PAC ID: 9436522208 Enrollment ID: I20230224001699 |
| Provider Name | Nicholas Allyn Stein |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346938958 PECOS PAC ID: 5092171629 Enrollment ID: I20230523003116 |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Life Wellness 13955 W Preserve Blvd, Suite 200, Burnsville, MN 55337-7733 Ph: (952) 890-0804 | Northern Life Wellness 13955 W Preserve Blvd, Suite 200, Burnsville, MN 55337-7733 Ph: (952) 890-0804 |
Mena Scanlon, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13114 Grand Ave, Burnsville, MN 55337 Phone: 605-731-9152 | |
Ms. Jennifer Nicole Mangan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13955 W Preserve Blvd # 200, Burnsville, MN 55337 Phone: 952-890-0804 Fax: 952-890-1095 | |
Dr. Stephen Alexander Irestone, D.C., N.D. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11970 Portland Ave, Burnsville, MN 55337 Phone: 952-895-7270 Fax: 952-895-1086 | |
Dr. Thomas Alan Anderson, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2424 E 117th St, Burnsville, MN 55337 Phone: 952-894-5108 | |
Stacy Neal, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1602 Cliff Road East, Burnsville, MN 55337 Phone: 612-710-7756 | |
Amy Elizabeth Fitzgearlds, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 511 County Road 42 E, Burnsville, MN 55306 Phone: 952-960-8120 | |
Kathleen Ann Bloom, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1606 Cliff Rd E, Burnsville, MN 55337 Phone: 952-894-6300 Fax: 952-894-2601 |