Provider Demographics
NPI:1912365305
Name:STECKLER, KRAIG RAYMOND (DC)
Entity Type:Individual
Prefix:DR
First Name:KRAIG
Middle Name:RAYMOND
Last Name:STECKLER
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 1:104 2ND ST SE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-3037
Mailing Address - Country:US
Mailing Address - Phone:320-414-0404
Mailing Address - Fax:320-348-1239
Practice Address - Street 1:104 2ND ST SE
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-3037
Practice Address - Country:US
Practice Address - Phone:320-414-0404
Practice Address - Fax:320-348-1239
Is Sole Proprietor?:No
Enumeration Date:2016-02-01
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6195111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor