Acqua Chiropractic, LLC
Chiropractor in St Louis Park, MN. Organization (NPI-2).
Details
- NPI
- 1710240296
- Entity type
- Organization (NPI-2)
- Legal business name
- Acqua Chiropractic, LLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2012
- Last updated
- Jun 20, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 5398 | MN | Yes |
Practice location
4833 Minnetonka BlvdSt Louis Park, MN 55416-2214
Phone 952-913-8687 · Fax 952-922-2335
Mailing address
4833 Minnetonka BlvdSt Louis Park, MN 55416-2214
Phone 952-913-8687 · Fax 952-922-2335
Authorized official
Ryan Reilly
Doctor Of Chiropractic
9529138687
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 69 Chiropractor providers in St Louis Park · All 3,529 providers in St Louis Park
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