DYNAMIC HEALTH CLINIC LLC NPI 1639446974

NPI Information

  • NPI: 1639446974
  • Provider Name: DYNAMIC HEALTH CLINIC, LLC
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Organization
  • Address: 6121 EXCELSIOR BLVD
    SUITE 205
    SAINT LOUIS PARK, MN
    ZIP 55416
  • Phone: (612) 710-7415

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NPI Details

DYNAMIC HEALTH CLINIC, LLC is an acupuncturist in Saint Louis Park, MN. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. DYNAMIC HEALTH CLINIC, LLC NPI is 1639446974. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6121 EXCELSIOR BLVD
SUITE 205
SAINT LOUIS PARK, MN
ZIP 55416-725
Phone: (612) 710-7415

The provider's authorized official is Joseph Bickle .
The authorized official title is Owner/operator and has the following contact phone number (612) 710-7415.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 11/30/2011.

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
1171100000XAcupuncturist1517MINNESOTAYes

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

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