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LEGACY FAMILY CHIROPRACTIC
NPI 1003390063
Chiropractor in Waite Park, MN

Active since September 17, 2018
171 7TH AVE S, WAITE PARK, MN 56387(320) 744-1013 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2022, Nov 3, 2018, Sep 17, 2018 (3 updates tracked since 2018).

About Legacy Family Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY FAMILY CHIROPRACTIC (NPI 1003390063) is a healthcare organization registered as a chiropractor in Waite Park, Minnesota and active in the NPI registry since September 2018. The organization lists Tyler Tonderum, President, as its authorized official.

NPPES Registry Identity

NPI1003390063
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTONDERUM FAMILY CHIROPRACTIC PLLC
Location Address171 7TH AVE SWaite Park, MN 56387-1362
Mailing Address50 10th Ave SWaite Park, MN 56387-1055 · (320) 774-1013
Phone(320) 744-1013
Organization SubpartNo
Authorized OfficialTyler TonderumPresident · (712) 209-2597
Enumeration DateSeptember 17, 2018
Last NPPES UpdateOctober 3, 20223 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1003390063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
171 7TH AVE S, Waite Park, MN 56387
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Other Names 1

Doing Business AsLegacy Family Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEGACY FAMILY CHIROPRACTIC, LLC
Chiropractor
171 7TH AVE S
WAITE PARK, MN 56387
Stearns County (320) 774-1013
DR. EVAN EIGEN D.C.
Chiropractor
171 7TH AVE S
WAITE PARK, MN 56387
Stearns County (320) 774-1013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tonderum Family Chiropractic PLLC's NPI number?

The NPI number for Tonderum Family Chiropractic PLLC is 1003390063. It was assigned to this organization in the NPPES registry on September 17, 2018. The provider is doing business as Legacy Family Chiropractic.

Where is Tonderum Family Chiropractic PLLC located?

Tonderum Family Chiropractic PLLC is located at 171 7th Ave S, Waite Park, MN 56387. The listed phone number is (320) 744-1013.

What is Tonderum Family Chiropractic PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Tonderum Family Chiropractic PLLC was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.