Cullen Fahey

Chiropractor · Prior Lake, MN

Individual Active NPI

NPI number 1457865313

Practice location

16197 Main Ave SE
Prior Lake, MN 55372-1704
Phone
(815) 245-1018

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NPI record

NPI
1457865313
Entity type
Individual (Type 1)
Enumeration date
November 29, 2017
Last updated
March 16, 2020
Certified
March 16, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 6403 MN
Chiropractor 111N00000X CHR.0007951 CO

Mailing address

300 S Jackson St
Ste 105
Denver, CO 80209-3131
Phone
(303) 474-4811
Fax
(720) 750-6604

About Cullen Fahey

Cullen Fahey is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 16197 Main Ave SE, Prior Lake, MN 55372-1704. The NPI number 1457865313 was assigned on November 29, 2017 and the record was last updated on March 16, 2020.

Cullen Fahey lists 2 licenses in the registry: #6403 (MN) for Chiropractor; #CHR.0007951 (CO) 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 Cullen Fahey?

The NPI number is 1457865313.

What is the phone number of Cullen Fahey?

The phone number listed for the practice location is (815) 245-1018.

Where is Cullen Fahey located?

16197 Main Ave SE, Prior Lake, MN 55372-1704.

What is the taxonomy code for Cullen Fahey?

The primary taxonomy code is 111N00000X – Chiropractor; 1 more listed above.

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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