Healthcare Provider Details

I. General information

NPI: 1386549459
Provider Name (Legal Business Name): ELEVATE CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 MAIN ST STE 2
TOPSHAM ME
04086-1245
US

IV. Provider business mailing address

126 MAIN ST STE 2
TOPSHAM ME
04086-1245
US

V. Phone/Fax

Practice location:
  • Phone: 207-406-2428
  • Fax:
Mailing address:
  • Phone: 207-406-2428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. QUINTIN MINNI
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 607-321-1395