| Soulspire, Llc | |
|
17508 Minnetonka Blvd Minnetonka MN 55345-1007 | |
| (763) 234-4876 | |
| Not Available |
| Full Name | Soulspire, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 17508 Minnetonka Blvd, Minnetonka, Minnesota |
| Authorized Official Name and Position | Susan Powers Olson (ORGANIZER) |
| Authorized Official Contact | 7632344876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulspire, Llc 17508 Minnetonka Blvd Minnetonka MN 55345-1007 Ph: (763) 234-4876 | Soulspire, Llc 17508 Minnetonka Blvd Minnetonka MN 55345-1007 Ph: (763) 234-4876 |
| NPI Number | 1316731599 |
|---|---|
| Provider Enumeration Date | 04/04/2025 |
| Last Update Date | 04/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316731599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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