DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EAGLE TRACE WELLNESS CENTER, PA

Active Organization

EAGLE TRACE WELLNESS CENTER, PA is a Chiropractor organization located in BURNSVILLE, Minnesota. NPI 1790932390 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · BURNSVILLE, MN

Registration Details

NPI Number
1790932390
Provider Type
Organization
NPI Issued
Aug 26, 2008 (17.989705717001 yrs)
Last Updated
Aug 26, 2008
Licenses
832 (MN)
5104 (MN)
5077 (MN)

Practice Information

Address
12002 COUNTY ROAD 11
BURNSVILLE, MN, 553373016
Browse MN providers · Browse ZIP 55337
Phone
9528082922
Fax
9528082910
Primary Specialty
Chiropractor
111N00000X
Additional Specialty
Chiropractor
Additional Specialty
Chiropractor

Other Chiropractor Organizations in BURNSVILLE, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.