Healthcare Provider Details

I. General information

NPI: 1407905797
Provider Name (Legal Business Name): NATHALIE SVETLANA PAUL D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3509 PEBBLE HILLS DRIVE
FERGUS FALLS MN
56537-4228
US

IV. Provider business mailing address

3509 PEBBLE HILLS DRIVE
FERGUS FALLS MN
56537
US

V. Phone/Fax

Practice location:
  • Phone: 563-449-2881
  • Fax:
Mailing address:
  • Phone: 563-449-2881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7438
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: