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WELLNESS WAY EDEN PRAIRIE LLC NPI 1336650043


NPI Information

NPI: 1336650043
Provider Name: WELLNESS WAY EDEN PRAIRIE LLC

Former Legal Business Name: WELLNESS WAY BLOOMINGTON LLC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6805 FLYING CLOUD DR
EDEN PRAIRIE, MN
ZIP 55344
Phone: (952) 255-6980
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WELLNESS WAY EDEN PRAIRIE LLC is a chiropractor in Eden Prairie, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WELLNESS WAY EDEN PRAIRIE LLC NPI is 1336650043. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Wellness Way Bloomington Llc.

The provider's business location address is:

6805 FLYING CLOUD DR
EDEN PRAIRIE, MN
ZIP 55344-418
Phone: (952) 255-6980

The provider's authorized official is Patrick Flynn .
The authorized official title is Owner and has the following contact phone number (920) 660-7877.

The enumeration date for this NPI number is 10/20/2017 and was last updated on 12/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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