Provider Demographics
NPI:1518731595
Name:BEEDLE, ABIGAIL (DC)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:BEEDLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 1ST ST S APT 313W
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-9259
Mailing Address - Country:US
Mailing Address - Phone:952-454-4025
Mailing Address - Fax:
Practice Address - Street 1:600 TWELVE OAKS CENTER DR STE 640
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-4502
Practice Address - Country:US
Practice Address - Phone:952-378-1085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7144111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor