DR. THERESA LUCITO (NPI# 1942451190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942451190 |
| Entity Type | Individual |
| Full Name | DR. THERESA LUCITO |
| Credential | D.C. |
| Practice Address |
1210 Moore Lake Dr E Fridley MN 55432-5170 |
| Practice Telephone | 7635710800 |
| Practice Fax Number | 7635710924 |
| Mailing Telephone | 7635710800 |
| Mailing Fax Number | 7635710924 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2014-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5159 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1942451190 | 05 |
| Street Address |
1210 MOORE LAKE DR E |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063800639 | Molly-jean Margaret Anderson | Chiropractor | 1210 Moore Lake Dr E, Fridley, MN 55432-5170 | 2015-01-05 |
| 1407244494 | Carey Bohman | Chiropractor | 1210 Moore Lake Dr E, Fridley, MN 55432-5170 | 2014-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| 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 |
|---|---|---|---|---|
| 1144876053 | Richard William Ramsay Garcia | Chiropractor | 7400 University Ave Ne Ste 100, Fridley, MN 55432-2223 | 2019-08-15 |
| 1265953061 | A Plus Chiropractic, PC | Chiropractor | 7872 University Ave Ne, Fridley, MN 55432-2625 | 2017-06-30 |
| 1952557134 | Gregg C Hebeisen | Chiropractor | 6280 Highway 65 Ne, Fridley, MN 55432-5188 | 2008-08-07 |
| 1821278870 | North Metro Spinecare Specialists | Chiropractor | 7699 Highway 65 Ne, Fridley, MN 55432-3525 | 2007-11-07 |
| 1366560278 | Catherine M Gray | Chiropractor | 1214 Moore Lake Dr E, Fridley, MN 55432-5170 | 2007-03-27 |
| 1841317120 | John Harlan Sampson | Chiropractor | 7400 University Ave Ne, Fridley, MN 55432-3101 | 2007-03-23 |
| 1942380613 | Advanced Health Pa | Chiropractor | 6280 Hwy 65, Fridley, MN 55432 | 2006-10-17 |
| 1831122720 | Maria E Aagesen-reznecheck | Chiropractor | 7245 University Ave Ne, Fridley, MN 55432-3134 | 2006-07-07 |
| 1508868548 | Paul A Westby | Chiropractor | 6425 Highway 65 Ne, Fridley, MN 55432-5128 | 2005-08-10 |
| 1720582125 | Aagesen Chiropractic and Natural Therapies | Chiropractor | 7245 University Ave Ne, Fridley, MN 55432-3134 | 2018-03-20 |
| Find all providers in FRIDLEY | ||||
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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.