Acqua Chiropractic, LLC
Organization Active NPI Chiropractor · St Louis Park, MN
NPI 1710240296 · NPPES record last updated Jun 20, 2012
Key facts
- NPI
- 1710240296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5398 (MN)
- Legal business name
- ACQUA CHIROPRACTIC, LLC
- Practice address
- 4833 Minnetonka Blvd
St Louis Park, MN 55416-2214 - Phone
- (952) 913-8687
- Fax
- (952) 922-2335
- NPI assigned
- Jun 20, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Ryan Reilly, D.C.
- Title
- Doctor of Chiropractic
- Phone
- (952) 913-8687
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5398 | MN | Yes |
Addresses
Primary practice location
4833 Minnetonka Blvd
St Louis Park, MN 55416-2214
Mailing address
4833 Minnetonka Blvd
St Louis Park, MN 55416-2214
Phone (952) 913-8687
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- Shannon Jeanette Acuna
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All providers in St Louis Park, 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 Jun 20, 2012. 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.