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ADVANCED BACK TECHNOLOGY, P.A.
NPI 1053490615
Chiropractor in Wayzata, MN

Active since November 03, 2006
1421 WAYZATA BLVD EAST, SUITE 70, WAYZATA, MN 55391(952) 473-1663(952) 473-9662 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Back Technology, P.a. NPPES

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

ADVANCED BACK TECHNOLOGY, P.A. (NPI 1053490615) is a healthcare organization registered as a chiropractor in Wayzata, Minnesota and active in the NPI registry since November 2006. The organization lists Frederick Lewis Claussen, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1053490615
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANCED BACK TECHNOLOGY, P.A.
Location Address1421 WAYZATA BLVD EAST, SUITE 70Wayzata, MN 55391
Mailing Address1421 Wayzata Blvd East, Suite 70Wayzata, MN 55391 · (952) 473-1663 · Fax (952) 473-9662
Phone(952) 473-1663
Fax(952) 473-9662
Organization SubpartNo
Authorized OfficialFrederick Lewis ClaussenCo-owner · (952) 473-1663
Enumeration DateNovember 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053490615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 1911
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.
1421 WAYZATA BLVD EAST, Wayzata, MN 55391
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Other Identifiers 1

Other097K2ADMN · Blue Cross Id Number

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

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 Advanced Back Technology, P.A.'s NPI number?

The NPI number for Advanced Back Technology, P.A. is 1053490615. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Advanced Back Technology, P.A. located?

Advanced Back Technology, P.A. is located at 1421 Wayzata Blvd East Suite 70, Wayzata, MN 55391. The listed phone number is (952) 473-1663.

What is Advanced Back Technology, P.A.'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 Advanced Back Technology, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.