ADVANCED BACK TECHNOLOGY P.A. NPI 1053490615

NPI Information

  • NPI: 1053490615
  • Provider Name: ADVANCED BACK TECHNOLOGY, P.A.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 1421 WAYZATA BLVD EAST
    SUITE 70
    WAYZATA, MN
    ZIP 55391
  • Phone: (952) 473-1663

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NPI Details

ADVANCED BACK TECHNOLOGY, P.A. is a chiropractor in Wayzata, 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. ADVANCED BACK TECHNOLOGY, P.A. NPI is 1053490615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1421 WAYZATA BLVD EAST
SUITE 70
WAYZATA, MN
ZIP 55391
Phone: (952) 473-1663
Fax: (952) 473-9662

The provider's authorized official is Frederick Lewis Claussen .
The authorized official title is Co-owner and has the following contact phone number (952) 473-1663.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1911MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1097K2ADOTHERMINNESOTABLUE CROSS ID NUMBER

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: 11/21/2025

NPI Synchronization or Removal

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