Healthcare Provider Details
I. General information
NPI: 1568302867
Provider Name (Legal Business Name): TARA SCHUG DC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6640 LYNDALE AVE S STE 120
RICHFIELD MN
55423-2385
US
IV. Provider business mailing address
7032 5TH AVE S
RICHFIELD MN
55423-3246
US
V. Phone/Fax
- Phone: 612-720-8836
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TARA
MICHELLE
SCHUG
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 612-720-8836