Healthcare Provider Details

I. General information

NPI: 1013811207
Provider Name (Legal Business Name): RO CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3453 HENNEPIN AVE STE 1
MINNEAPOLIS MN
55408-6604
US

IV. Provider business mailing address

3453 HENNEPIN AVE STE 1
MINNEAPOLIS MN
55408-6604
US

V. Phone/Fax

Practice location:
  • Phone: 612-685-5001
  • Fax:
Mailing address:
  • Phone: 612-685-5001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KENDRA HALL
Title or Position: OWNER
Credential: DC
Phone: 612-685-5001