=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013811207
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RO CHIROPRACTIC PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2026
-----------------------------------------------------
Last Update Date | 10/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3453 HENNEPIN AVE STE 1
-----------------------------------------------------
City | MINNEAPOLIS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55408-6604
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-685-5001
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3453 HENNEPIN AVE STE 1
-----------------------------------------------------
City | MINNEAPOLIS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55408-6604
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-685-5001
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KENDRA HALL
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 612-685-5001
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------