| New Life Chiropractic | |
|
17595 Kenwood Trl Ste 120, Lakeville, MN 55044-7319 | |
| (651) 401-6494 | |
| (651) 401-6468 |
| Full Name | New Life Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 17595 Kenwood Trl Ste 120, 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 |
|---|---|---|---|
| 1306555719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Danielle Ac Veenstra |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144974502 PECOS PAC ID: 7113300310 Enrollment ID: I20220822001500 |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Chiropractic 17595 Kenwood Trl Ste 120, Lakeville, MN 55044-7319 Ph: (651) 401-6494 | New Life Chiropractic 17595 Kenwood Trl Ste 120, Lakeville, MN 55044-7319 Ph: (651) 401-6494 |
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