# EXUBERANCE CHIROPRACTIC & WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174946628
- **Authorized official:** DR. CHRISTIE M HALBE D.C. (OWNER)
- **Authorized official phone:** (952) 435-3345

## Contact information

- **Practice address:** 17787 KENWOOD TRL, LAKEVILLE, MN 55044
- **Practice address phone:** (952) 435-3345
- **Practice address fax:** (952) 435-8895
- **Mailing address:** 17787 KENWOOD TRL, LAKEVILLE, MN 55044-9493
- **Mailing address phone:** (952) 435-3345
- **Mailing address fax:** (952) 435-8895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 5779 | MN | Yes |

## Other

- **Enumeration date:** 02/03/2014
- **Last updated:** 08/11/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38994600 | — | WI |