VITAL LIFE CHIROPRACTIC, LLC (NPI# 1134351901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134351901 |
| Entity Type | Organization |
| Organization Name | VITAL LIFE CHIROPRACTIC, LLC |
| Practice Address |
3470 Washington Dr Suite 108 Eagan MN 55122-1355 |
| Practice Telephone | 6517575096 |
| Mailing Telephone | 6517575096 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-13 |
| Authorized Official Name | DR. BARBARA KAISER (OWNER) |
| Authorized Official Telephone | 6517575096 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5218 | MN | Chiropractic Providers |
| Street Address |
3470 WASHINGTON DR SUITE 108 |
| City | EAGAN |
| State | MN |
| Zip Code | 55122-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063613750 | World Pediatrics | Pediatrics | 3470 Washington Dr, Suite 201, Eagan, MN 55122-1355 | 2007-05-30 |
| 1639558372 | Twin Cities Relationship Center | Clinic/Center | 3470 Washington Dr, Suite 122, Eagan, MN 55122-1355 | 2015-05-27 |
| 1871869412 | Dawn Marie Gallagher | Counselor | 3470 Washington Dr, Eagan, MN 55122-1355 | 2012-03-28 |
| 1205078300 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 3470 Washington Dr, Suite 201, Eagan, MN 55122-1355 | 2009-04-03 |
| 1952549859 | Todd M Berntson | Counselor | 3470 Washington Dr, Suite 122, Eagan, MN 55122-1355 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982259685 | Harmony Health Chiropractic Plc | Chiropractor | 3324 Promenade Ave Ste 106, Eagan, MN 55121-2260 | 2019-08-08 |
| 1922572387 | Truecare Chiropractic | Chiropractor | 1981 Silver Bell Rd, Eagan, MN 55122-3174 | 2019-01-17 |
| 1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
| 1518366764 | Kimberly Capes | Chiropractor | 1981 Silver Bell Rd # 700, Eagan, MN 55122-3174 | 2014-08-13 |
| 1710302930 | Brittany Freese | Chiropractor | 1121 Town Centre Dr Ste 202, Eagan, MN 55123-1370 | 2014-02-25 |
| 1518207133 | Nathan Michael Cornelius | Chiropractor | 1965 Cliff Lake Rd Ste 103, Eagan, MN 55122-2591 | 2013-02-19 |
| 1962741538 | Chelsey A Henney | Chiropractor | 1959 Shawnee Rd Ste 110, Eagan, MN 55122-1216 | 2013-02-01 |
| 1477898286 | Lance Gary Brisky | Chiropractor | 4397 Malmo Cir, Eagan, MN 55123-1737 | 2012-12-05 |
| 1740541960 | Jacob Thomas Lesher | Chiropractor | 1565 Thomas Center Dr, Eagan, MN 55122-2642 | 2012-06-05 |
| 1023379526 | Jason Bolen | Chiropractor | 1380 Duckwood Dr, 102, Eagan, MN 55123-1090 | 2012-06-01 |
| Find all providers in EAGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.