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NPI Code Detail

MEDICARE: DR. KRISTIE WESTERBECK DC

MEDICARE: DR. KRISTIE WESTERBECK DC
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
1111N00000XChiropractor7044MN
2363A00000XPhysician Assistant
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1861105090
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTIE WESTERBECK DC
Provider Business Mailing Address
First Line : 4516 W 88TH ST
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-1402
Country : US
Telephone Number : 651-235-6689
Fax Number :
Provider Business Practice Location Address
First Line : 2211 RIVERSIDE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-1350
Country : US
Telephone Number : 612-330-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2023
Last Update Date : 01/22/2026

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