LIFECLINIC REHABILITATION AND CHIROPRACTIC (NPI# 1356751523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356751523 |
| Entity Type | Organization |
| Organization Name | LIFECLINIC REHABILITATION AND CHIROPRACTIC |
| Practice Address |
5525 Cedar Lake Rd S St Louis Park MN 55416-1420 |
| Mailing Address |
3200 Blaisdell Ave Apt 1 Minneapolis MN 55408-4419 |
| Practice Telephone | 9525465474 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |
| Authorized Official Name | DR. NICHOLAS DONALD NOVAKOSKI (CHIROPRACTIC) |
| Authorized Official Telephone | 9525465474 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
5525 CEDAR LAKE RD S |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861471666 | Jennifer L Mears | Nurse Practitioner | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2006-01-11 |
| 1629683180 | Nathaniel Arthur Murray | Physical Therapist | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2020-09-11 |
| 1144790866 | Ashley Marie Overby | Physician Assistant | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2018-11-26 |
| 1942664024 | Emily Samborn | Nurse Practitioner | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2016-04-05 |
| 1669851986 | Thomas Klusmann | Physical Therapy Assistant | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2015-05-19 |
| 1922416064 | Lifeclinic Pa | Physical Therapist | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2014-07-31 |
| 1790195774 | Nicholas Novakoski | Student in an Organized Health Care Education/Training Program | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2014-04-30 |
| 1942546692 | Life Clinic Medical, Pa | Internal Medicine | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2012-12-28 |
| 1659666931 | Josiah Lee Thunshelle | Physical Therapist | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2011-06-14 |
| 1023296167 | Life Clinic, P.a. | Physical Therapist | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| 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 |
|---|---|---|---|---|
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1255859773 | Eleanor Stauffer | Chiropractor | 3340 Republic Ave Ste 150, St Louis Park, MN 55426-4154 | 2017-09-05 |
| 1821481201 | Trent Anderson | Chiropractor | 2012 Louisiana Ave S, St Louis Park, MN 55426-2721 | 2015-03-10 |
| 1700063211 | Jonathan Lee Arnold | Chiropractor | 5009 Excelsior Blvd Ste 100, St Louis Park, MN 55416-3042 | 2008-01-28 |
| 1598971640 | Crossroad Chiropractic Clinic | Chiropractor | 6311 Wayzata Blvd Ste 340, St Louis Park, MN 55416-1243 | 2007-05-15 |
| 1770707747 | Allen Hepfner | Chiropractor | 8800 Highway 7 Ste 222, St Louis Park, MN 55426-3927 | 2007-04-12 |
| 1588793467 | Sharon Rae Schroeder | Chiropractor | 5801 Cedar Lake Rd S, St Louis Park, MN 55416-1481 | 2007-03-05 |
| 1104965656 | Lisa Verna | Chiropractor | 4833 Minnetonka Blvd, St Louis Park, MN 55416-2214 | 2007-02-05 |
| 1437227089 | Dana Jon Passig | Chiropractor | 5811 Cedar Lake Rd S, Suite E, St Louis Park, MN 55416-1458 | 2006-12-01 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.