Ruth A Blomster, LMT
Individual provider Active NPI Contractor · Lauderdale, MN
NPI 1104952639 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104952639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 2443 Larpenteur Ave W
Lauderdale, MN 55113-5234 - Phone
- (651) 917-9800
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malzer Chiropractic LLC | Past |
Accepting new patients | |
| Essence Chiropractic & Health PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
2443 Larpenteur Ave W
Lauderdale, MN 55113-5234
Mailing address
2250 Marion Rd
Roseville, MN 55113-3824
Phone (651) 490-1727
Other providers in Lauderdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.