John Michael Ketelsen, DC

Chiropractor · Coon Rapids, MN

Individual Active NPI

NPI number 1043773013

Practice location

1835 Gateway Dr NW Ste 104
Coon Rapids, MN 55448-4513
Phone
(763) 710-8888
Fax
(763) 225-5629

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NPI record

NPI
1043773013
Entity type
Individual (Type 1)
Enumeration date
April 8, 2019
Last updated
July 6, 2026
Certified
July 6, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 6612 MN

About Dr. Ketelsen

John Michael Ketelsen, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1835 Gateway Dr NW Ste 104, Coon Rapids, MN 55448-4513. The NPI number 1043773013 was assigned on April 8, 2019 and the record was last updated on July 6, 2026.

Dr. Ketelsen lists a license in the registry: #6612 (MN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Michael Ketelsen, DC?

The NPI number is 1043773013.

What is the phone number of Dr. Ketelsen?

The phone number listed for the practice location is (763) 710-8888.

Where is Dr. Ketelsen located?

1835 Gateway Dr NW Ste 104, Coon Rapids, MN 55448-4513.

What is the taxonomy code for Dr. Ketelsen?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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