Vibrant Chiropractic P.A.

Chiropractor · Lake Elmo, MN

Organization Active NPI

NPI number 1609265156

Practice location

8519 Eagle Point Blvd Ste 175
Lake Elmo, MN 55042-8629
Phone
(651) 207-4411

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NPI record

NPI
1609265156
Entity type
Organization (Type 2)
Enumeration date
January 21, 2015
Last updated
January 21, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 6027 MN
Chiropractor 111N00000X 6028 MN

Authorized official

Name
Thad Christopher Betzold
Title
Co-Owner
Phone
(651) 207-4411

About Vibrant Chiropractic P.A.

Vibrant Chiropractic P.A. is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 8519 Eagle Point Blvd Ste 175, Lake Elmo, MN 55042-8629. The NPI number 1609265156 was assigned on January 21, 2015 and the record was last updated on January 21, 2015.

Vibrant Chiropractic P.A. lists 2 licenses in the registry: #6027 (MN) for Chiropractor; #6028 (MN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Thad Christopher Betzold, Co-Owner.

Frequently asked questions

What is the NPI number of Vibrant Chiropractic P.A.?

The NPI number is 1609265156.

What is the phone number of Vibrant Chiropractic P.A.?

The phone number listed for the practice location is (651) 207-4411.

Where is Vibrant Chiropractic P.A. located?

8519 Eagle Point Blvd Ste 175, Lake Elmo, MN 55042-8629.

What is the taxonomy code for Vibrant Chiropractic P.A.?

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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