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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WILDWOOD WELLNESS AND REHAB LLC
NPI 1184528697
Chiropractor in Mahtomedi, MN

Active since October 07, 2026
744 WILDWOOD RD, MAHTOMEDI, MN 55115(651) 300-3007 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Wildwood Wellness And Rehab Llc NPPES

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

WILDWOOD WELLNESS AND REHAB LLC (NPI 1184528697) is a healthcare organization registered as a chiropractor in Mahtomedi, Minnesota and active in the NPI registry since October 2026. The organization lists Ivan Alejandro Carrillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1184528697
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILDWOOD WELLNESS AND REHAB LLC
Location Address744 WILDWOOD RDMahtomedi, MN 55115-1852
Mailing Address744 Wildwood RdMahtomedi, MN 55115-1852 · (651) 300-3007
Phone(651) 300-3007
Organization SubpartNo
Authorized OfficialIvan Alejandro CarrilloOwner · (651) 300-3007
Enumeration DateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1184528697 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.
744 WILDWOOD RD, Mahtomedi, MN 55115
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Other Providers at the Same Location NPPES 3

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

DR. IVAN ALEJANDRO CARRILLO DC
Chiropractor
744 WILDWOOD RD
MAHTOMEDI, MN 55115
Washington County (651) 300-3007
WILDWOOD WELLNESS LLC
Chiropractor
744 WILDWOOD RD
MAHTOMEDI, MN 55115
Washington County (651) 300-4377
HAYLEY RAE ALT L.AC.
Acupuncturist
744 WILDWOOD RD
MAHTOMEDI, MN 55115
Washington County (651) 300-2350

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 Wildwood Wellness And Rehab LLC's NPI number?

The NPI number for Wildwood Wellness And Rehab LLC is 1184528697. It was assigned to this organization in the NPPES registry on October 7, 2026.

Where is Wildwood Wellness And Rehab LLC located?

Wildwood Wellness And Rehab LLC is located at 744 Wildwood Rd, Mahtomedi, MN 55115. The listed phone number is (651) 300-3007.

What is Wildwood Wellness And Rehab LLC'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 Wildwood Wellness And Rehab LLC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.