Montrose Wellness PA
Organization Active NPI Chiropractor · Montrose, MN
NPI 1013143445 · NPPES record last updated May 29, 2009
Key facts
- NPI
- 1013143445
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- MONTROSE WELLNESS PA
- Practice address
- 145 Nelson Blvd, Ste # 1000
Montrose, MN 55363 - Phone
- (763) 675-3121
- NPI assigned
- May 29, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Sonya Ann Tourville, DC
- Title
- Ceo
- Phone
- (763) 675-3121
Practitioners 4
-
Phillip J Kamps, D.C.
-
Rodney Michael Schroeder, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090701000473 | MN | Part B Supplier - Clinic/Group Practice | 8325199441 |
Receives reassigned benefits from 1 practitioner Practice locations: Montrose, MN |
National Provider Directory
Locations
145 Nelson Blvd
Ste 1000
Montrose, MN 55363
Phone (763) 675-3121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
145 Nelson Blvd, Ste # 1000
Montrose, MN 55363
Mailing address
PO Box 406
Montrose, MN 55363-0406
Phone (763) 675-3121
Other names
- Montrose Family Chiropractic
Other providers in Montrose, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2009. 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.