Provider Demographics
NPI:1750142360
Name:MERAKI CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:MERAKI CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-218-4585
Mailing Address - Street 1:19388 ARROWHEAD ST NW
Mailing Address - Street 2:
Mailing Address - City:OAK GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55011-9868
Mailing Address - Country:US
Mailing Address - Phone:763-218-4585
Mailing Address - Fax:
Practice Address - Street 1:19201 LAKE GEORGE BLVD STE C
Practice Address - Street 2:
Practice Address - City:OAK GROVE
Practice Address - State:MN
Practice Address - Zip Code:55303-8482
Practice Address - Country:US
Practice Address - Phone:763-200-3370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
No111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Multi-Specialty