Healthcare Provider Details

I. General information

NPI: 1194537662
Provider Name (Legal Business Name): MICAYLA DANIELLE STEFLOR DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 FREEPORT AVE NW STE 100
ELK RIVER MN
55330-2507
US

IV. Provider business mailing address

2630 14TH AVE S
MINNEAPOLIS MN
55407-1125
US

V. Phone/Fax

Practice location:
  • Phone: 763-441-3830
  • Fax:
Mailing address:
  • Phone: 952-567-1952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7405
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: