Organization
AAGESEN CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA E AAGESEN-REZNECHECK DC (PRESIDENT)
(612) 920-1092
Entity
Organization
Contact information
Practice address
5050 W 36TH ST, SUITE 100, ST LOUIS PARK, MN 55416-5469
(612) 920-1092
(612) 928-0376
Mailing address
5050 W 36TH ST, SUITE 100, ST LOUIS PARK, MN 55416-5469
(612) 920-1092
(612) 928-0376
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31P34AA
BCBS PT GROUP ID
MN
01
—
372M6AA
BCBS OT GROUP ID
MN
01
—
59836AA
BCBS CHIROPRACTIC GRP ID
MN
Enumeration date
10/17/2006
Last updated
09/11/2025
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