Provider Demographics
NPI:1578042206
Name:LY, SENYI (DC)
Entity Type:Individual
Prefix:DR
First Name:SENYI
Middle Name:
Last Name:LY
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 1:2345 RICE ST STE 155
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-3720
Mailing Address - Country:US
Mailing Address - Phone:651-528-7978
Mailing Address - Fax:651-528-7941
Practice Address - Street 1:2345 RICE ST STE 155
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-3720
Practice Address - Country:US
Practice Address - Phone:651-528-7978
Practice Address - Fax:651-528-7941
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6527111NI0900X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0900XChiropractic ProvidersChiropractorInternist