Ericka Chwialkowski, LMT
Individual provider Active NPI Massage Therapist · Buffalo, MN
NPI 1588239487 · NPPES record last updated May 24, 2021
Key facts
- NPI
- 1588239487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 101 Marty Dr Ste 1
Buffalo, MN 55313-9343 - Phone
- (763) 682-4000
- NPI assigned
- May 24, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| Marty Chiropractic Healing Center, P.a. | Current | Accepting new patients |
Locations
101 Marty Dr
Ste 1
Buffalo, MN 55313
Phone (763) 682-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
101 Marty Dr Ste 1
Buffalo, MN 55313-9343
Mailing address
101 Marty Dr Ste 1
Buffalo, MN 55313-9343
Phone (763) 682-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296939400 | Medicaid | MN |
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All providers in Buffalo, MN · Massage Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2021. 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.