Provider Demographics
NPI:1710216858
Name:INSTITUTE FOR ORTHOPEDICS & CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:INSTITUTE FOR ORTHOPEDICS & CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:CATERINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-941-3311
Mailing Address - Street 1:6550 YORK AVE S STE 600
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2367
Mailing Address - Country:US
Mailing Address - Phone:952-941-3311
Mailing Address - Fax:952-944-2004
Practice Address - Street 1:6550 YORK AVE S STE 600
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2367
Practice Address - Country:US
Practice Address - Phone:952-941-3311
Practice Address - Fax:952-944-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-21
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty