| Pathways Chiropractic Health Center Of Prior Lake, Pa | |
|
16154 Main Ave Se Ste 134, Prior Lake, MN 55372-4800 | |
| (952) 447-3000 | |
| (952) 447-3561 |
| Full Name | Pathways Chiropractic Health Center Of Prior Lake, Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 16154 Main Ave Se Ste 134, Prior Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891901609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2540 (Minnesota) | Primary |
| 111N00000X | Chiropractor | 3631 (Minnesota) | Secondary |
| 111N00000X | Chiropractor | 3935 (Minnesota) | Secondary |
| Provider Name | Kenneth R Barnett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669542171 PECOS PAC ID: 2769437698 Enrollment ID: I20050314000879 |
| Provider Name | Stephen P Kramer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225108905 PECOS PAC ID: 1254244858 Enrollment ID: I20101018001045 |
| Provider Name | Brittany A Domier |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609112622 PECOS PAC ID: 7214173608 Enrollment ID: I20130409000051 |
| Provider Name | Jesse Scheidecker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013301514 PECOS PAC ID: 6406167998 Enrollment ID: I20150625000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Chiropractic Health Center Of Prior Lake, Pa 16154 Main Ave Se Ste 134, Prior Lake, MN 55372-4800 Ph: (952) 447-3000 | Pathways Chiropractic Health Center Of Prior Lake, Pa 16154 Main Ave Se Ste 134, Prior Lake, MN 55372-4800 Ph: (952) 447-3000 |
Melissa Engelson, Dc, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15815 Franklin Trl Se, Suite 500, Prior Lake, MN 55372 Phone: 952-567-1005 | |
Pivotal Family Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 16731 Highway 13 S Ste 107a, Prior Lake, MN 55372 Phone: 320-582-0582 | |
Connor Thomas Wears, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6885 Boudin St Ne Ste 200, Prior Lake, MN 55372 Phone: 651-583-8971 Fax: 612-682-4897 | |
Deborah Genrick, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14180 Commerce Ave Ne, Prior Lake, MN 55372 Phone: 952-447-3395 Fax: 953-447-3396 | |
Dr. Samantha Marie Davidson Hermsen, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6880 Boudin St Ne Ste 230, Prior Lake, MN 55372 Phone: 952-447-0985 Fax: 952-447-0986 | |
Collins Chiropractic Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16670 Franklin Trl Se, Suite 120c, Prior Lake, MN 55372 Phone: 952-447-5770 Fax: 952-447-5780 | |
Michele Schueller Stapf, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4124 Raspberry Ridge Rd Ne, Prior Lake, MN 55372 Phone: 952-240-0541 |