Awaken Life Chiropractic, LLC

NPI #1952105694 in Edina, Minnesota

Provider Information

NPI Number: 1952105694
Entity Type: Organization
Organization Name: Awaken Life Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 2, 2025
Last Updated: Apr 2, 2025

Practice Location

Address: 7401 METRO BLVD STE 190
City: Edina
State: Minnesota
ZIP Code: 55439-3019
Phone: (952) 314-5454

Authorized Official

Name: KENNETH WILSON
Title: DOCTOR/OWNER
Phone: (612) 802-3646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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