Provider Demographics
NPI:1205532488
Name:TEMPLE, ALEXANDRA (DC)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:
Last Name:TEMPLE
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 1:1819 2ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-3035
Mailing Address - Country:US
Mailing Address - Phone:507-334-9400
Mailing Address - Fax:507-331-2210
Practice Address - Street 1:150 E TRAVELERS TRL
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6889
Practice Address - Country:US
Practice Address - Phone:651-463-8222
Practice Address - Fax:952-405-8824
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7067111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor