Provider Demographics
NPI:1932366150
Name:NATURAL TOUCH CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:NATURAL TOUCH CHIROPRACTIC, PLLC
Other - Org Name:HEALTH WITHIN CHIROPRACTIC AND ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:KETTERLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:612-481-8580
Mailing Address - Street 1:16659 KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-4616
Mailing Address - Country:US
Mailing Address - Phone:612-481-8580
Mailing Address - Fax:
Practice Address - Street 1:217 PLUM ST
Practice Address - Street 2:STE. 150
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-2351
Practice Address - Country:US
Practice Address - Phone:651-385-5999
Practice Address - Fax:651-385-5999
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATURAL TOUCH CHIROPRACTIC, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-16
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN003487111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN126667500Medicaid
MNU78903Medicare UPIN
MN126667500Medicaid