Provider Demographics
NPI:1497029276
Name:AXNESS, ARIK JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:ARIK
Middle Name:JAMES
Last Name:AXNESS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7350 CLEARWATER ROAD
Mailing Address - Street 2:
Mailing Address - City:BAXTER
Mailing Address - State:MN
Mailing Address - Zip Code:56425-8463
Mailing Address - Country:US
Mailing Address - Phone:218-454-5050
Mailing Address - Fax:218-454-5052
Practice Address - Street 1:7350 CLEARWATER ROAD
Practice Address - Street 2:
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-8463
Practice Address - Country:US
Practice Address - Phone:218-454-5050
Practice Address - Fax:218-454-5052
Is Sole Proprietor?:No
Enumeration Date:2012-02-27
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5626111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor