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KELSEY MARGARET PERREAULT D.C.
NPI 1093170136
Chiropractor in Grand Rapids, MN

Active since December 16, 2015
1891 E HIGHWAY 2, GRAND RAPIDS, MN 55744(218) 326-0046 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Margaret Perreault D.c. NPPES

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

KELSEY MARGARET PERREAULT D.C. (NPI 1093170136) is an individual chiropractor in Grand Rapids, Minnesota, licensed in Minnesota (6149) and active in the NPI registry since December 2015. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1093170136
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameKELSEY MARGARET PERREAULTCredential: D.C.
Location Address1891 E HIGHWAY 2Grand Rapids, MN 55744-3278
Mailing Address1891 E Highway 2Grand Rapids, MN 55744-3278 · (218) 326-0046
Phone(218) 326-0046
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 16, 2015
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1093170136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6149
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.
1891 E HIGHWAY 2, Grand Rapids, MN 55744
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Other Names 1

Former Name (1)Kelsey Margaret Petersen

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Margaret Perreault D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254633928
PECOS Enrollment IDI20160112002730

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 Kelsey Perreault's NPI number?

The NPI number for Kelsey Perreault is 1093170136. It was assigned to this individual provider in the NPPES registry on December 16, 2015. The provider is also known as Kelsey Margaret Petersen.

Where is Kelsey Perreault located?

Kelsey Perreault practices at 1891 E Highway 2, Grand Rapids, MN 55744. The listed phone number is (218) 326-0046.

What is Kelsey Perreault's specialty?

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

Is Kelsey Perreault enrolled in Medicare?

Yes. Kelsey Perreault is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Perreault was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.