MEDICARE: DR. SHELBY PASELL DAC, LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	2122	MN

General Provider Information

NPI Number	:	1285586214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELBY PASELL DAC, LAC

Provider Business Mailing Address
First Line	:	4124 46TH AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-3634
Country	:	US
Telephone Number	:	651-895-7894
Fax Number	:

Provider Business Practice Location Address
First Line	:	1624 HARMON PL STE 205
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-9817
Country	:	US
Telephone Number	:	612-389-8792
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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