| Revive Chiropractic Wellness Center, Llc | |
|
2800 Rice St Ste 158, Little Canada, MN 55113-2481 | |
| (651) 765-1320 | |
| (651) 765-1302 |
| Full Name | Revive Chiropractic Wellness Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2800 Rice St Ste 158, Little Canada, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487991600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5678 (Minnesota) | Primary |
| Provider Name | Lindsie Lee Olson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134471147 PECOS PAC ID: 2769620244 Enrollment ID: I20130522000283 |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Chiropractic Wellness Center, Llc 2800 Rice St Ste 158, Little Canada, MN 55113-2481 Ph: (651) 765-1320 | Revive Chiropractic Wellness Center, Llc 2800 Rice St Ste 158, Little Canada, MN 55113-2481 Ph: (651) 765-1320 |
Lindsie Olson, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 125 Little Canada Rd W Ste 115, Little Canada, MN 55117 Phone: 651-765-1320 |
Jim Lee, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2885 Country Dr Ste 110, Little Canada, MN 55117 Phone: 651-440-9905 Fax: 651-528-6804 |
Emily Lehman, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 125 Little Canada Rd W Ste 115, Little Canada, MN 55117 Phone: 651-765-1320 |
Paul D. Thompson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11 Little Canada Rd E, Little Canada, MN 55117 Phone: 651-483-0898 |
Julie L Peot, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 125 Little Canada Rd W Ste 115, Little Canada, MN 55117 Phone: 651-765-1320 Fax: 651-765-1302 |
Chirome Health And Wellness Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2885 Country Dr Ste 120, Little Canada, MN 55117 Phone: 651-440-9905 Fax: 651-528-6804 |
Dr. Jason Wing Louie, Chiropractor Medicare: Medicare Enrolled Practice Location: 2860 Middle St, Little Canada, MN 55117 Phone: 651-484-8783 |