Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
EAGLE TRACE WELLNESS CENTER, PA
Active
Organization
EAGLE TRACE WELLNESS CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISA MARIE KENSINGER D.C. (VICE PRESIDENT, SECRETARY, TREASURE)
(952) 808-2922
Entity
Organization
Contact information
Practice address
12002 COUNTY ROAD 11, BURNSVILLE, MN 55337-3016
(952) 808-2922
(952) 808-2910
Mailing address
12002 COUNTY ROAD 11, BURNSVILLE, MN 55337-3016
(952) 808-2922
(952) 808-2910
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5077
MN
111N00000X
Chiropractor
5104
MN
171100000X
Acupuncturist
832
MN
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up