Family Tree Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4546 Issued in MN

Legal business name

FAMILY TREE CHIROPRACTIC CLINIC

Practice address

6311 Wayzata Blvd Ste 330
St Louis Park, MN 55416-1288

Phone

(952) 930-0699

Fax

(952) 933-6410

NPI assigned

Jul 19, 2006

Last updated

Aug 20, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alyssa J Saterdalen, D.C.NPI 1437177250

Title

Owner

Phone

(952) 697-4044

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alyssa Joy Saterdalen, D.C.

  • Chiropractor
  • St Louis Park, MN
  • NPI 1437177250
  Authorized official Same address or phone
• Wells Bovard, L.AC.

  • Acupuncturist
  • Deephaven, MN
  • NPI 1700097151
  NPD (past)
• Patricia Yarnes Hadley, D.C.

  • Nutrition Chiropractor
  • Wayzata, MN
  • NPI 1699107474
  NPD (past)
• Bradley J Molskness, DC

  • Chiropractor
  • Wayzata, MN
  • NPI 1265637979
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1497774640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S STE 500",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161551",
            "telephone_number": "952-697-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 WAYZATA BLVD STE 330",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161288",
            "telephone_number": "952-930-0699",
            "fax_number": "952-933-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "SATERDALEN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-697-4044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530008000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MINNESOTA",
            "identifier": "11N61FA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER",
            "identifier": "665914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Alliance Healthcare LLC
• Family Health Solutions LLC (Visiting Angels)
• Family Orthodontic Specialists PLC (Woodlake Orthodontics St Louis Park)
• Family Orthodontics PA
• Family Therapy & Recovery Ctr
• Family West Chiropractic PA.
• Jill Fancher, PHARM D
• Hanie Ali Farah
• Julie M Farias, M.D.
• Amanda Lynn Farrell

• Chiropractor in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.