Healthcare Provider Details

I. General information

NPI: 1659205391
Provider Name (Legal Business Name): HEALING HANDS CHIROPRACTIC CTR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 NW 4TH ST STE B
GRAND RAPIDS MN
55744-2203
US

IV. Provider business mailing address

1007 NW 4TH ST STE B
GRAND RAPIDS MN
55744-2203
US

V. Phone/Fax

Practice location:
  • Phone: 218-326-0046
  • Fax: 218-327-1543
Mailing address:
  • Phone: 218-326-0046
  • Fax: 218-327-1543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. SHARI AULTMAN
Title or Position: PRESIDENT
Credential: DC
Phone: 218-326-0046