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DR. CHAD MARTIN KOTERBA D.C. A.T.C. NPI 1518014125


NPI Information

NPI: 1518014125
Provider Name: DR. CHAD MARTIN KOTERBA, D.C., A.T.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
6640 SHADY OAK RD STE 325
EDEN PRAIRIE, MN
ZIP 55344
Phone: (952) 541-0148
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DR. Chad Martin Koterba, D.C., A.T.C. is a chiropractor in Eden Prairie, MN with 13 years of experience. 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. DR. Chad Martin Koterba, D.C., A.T.C. NPI is 1518014125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduation Year:2011

The provider's business location address is:

6640 SHADY OAK RD STE 325
EDEN PRAIRIE, MN
ZIP 55344-834
Phone: (952) 541-0148
Fax: (952) 767-2422

The enumeration date for this NPI number is 1/4/2007 and was last updated on 2/19/2020.


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
1111N00000XChiropractor5604MINNESOTAYes

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: 5/5/2024

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