Back in Balance Health and Wellness PLLC
Organization Active NPI Chiropractor · Saint Peter, MN
NPI 1003669722 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1003669722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BACK IN BALANCE HEALTH AND WELLNESS PLLC
- Practice address
- 220 Broadway Ave
Saint Peter, MN 56082-2594 - Phone
- (218) 451-0215
- NPI assigned
- Apr 10, 2024
- Organization subpart
- No
Authorized official
- Name
- Rachel Ann Thompson, DC
- Title
- Chiropractor
- Phone
- (507) 519-1408
Practitioners 2
-
Rachel Ann Thompson, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240805000666 | MN | Part B Supplier - Clinic/Group Practice | 1759828015 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Peter, MN |
National Provider Directory
Locations
220 Broadway Ave
Saint Peter, MN 56082
Phone (218) 451-0215
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
220 Broadway Ave
Saint Peter, MN 56082-2594
Mailing address
220 Broadway Ave
Saint Peter, MN 56082-2594
Phone (507) 519-1408
Other providers in Saint Peter, MN
- Neil Wayne Anderson
- Sheila E Anderson
- Apple Express, LLC
- Andrew James Archer
- Alexis Leigh Artmann
- Paul B. Bandelin
- Troy David Banse
- Kristyn Nicole Barber
- Sarah Elizabeth Barbosa
- Michelle Barnett
All providers in Saint Peter, MN · Chiropractor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.