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EAGLE CREEK WELLNESS CENTER LLC
NPI 1366631244
Chiropractor in Prior Lake, MN

Active since October 17, 2007
14180 COMMERCE AVE NE, PRIOR LAKE, MN 55372(952) 447-3395(952) 447-3396 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle Creek Wellness Center Llc NPPES

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

EAGLE CREEK WELLNESS CENTER LLC (NPI 1366631244) is a healthcare organization registered as a chiropractor in Prior Lake, Minnesota and active in the NPI registry since October 2007. The organization lists Nicholas David Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1366631244
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEAGLE CREEK WELLNESS CENTER LLC
Location Address14180 COMMERCE AVE NEPrior Lake, MN 55372-1483
Mailing Address14180 Commerce Ave NePrior Lake, MN 55372-1483 · (952) 447-3395 · Fax (952) 447-3396
Phone(952) 447-3395
Fax(952) 447-3396
Organization SubpartNo
Authorized OfficialNicholas David AndersonOwner · (952) 447-9935
Enumeration DateOctober 17, 2007
Last NPPES UpdateMarch 2, 2020
NPPES CertifiedMarch 2, 2020
✔ NPI 1366631244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · DC3496
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.
14180 COMMERCE AVE NE, Prior Lake, MN 55372
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Other Identifiers 2

Medicaid271223700MN
Medicaid747637000MN

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

DEBORAH GENRICK DC
Chiropractor
14180 COMMERCE AVE NE
PRIOR LAKE, MN 55372
Scott County (952) 447-3395
EAGLE CREEK CHIROPRACTIC
Physical Therapist
14180 COMMERCE AVE NE
PRIOR LAKE, MN 55372
Scott County (952) 447-3395
DR. KERRI SUE LOCKWOOD D.C.
Chiropractor
14180 COMMERCE AVE NE
PRIOR LAKE, MN 55372
Scott County (952) 447-3395
CARINA PATNODE DC
Chiropractor
14180 COMMERCE AVE NE
PRIOR LAKE, MN 55372
Scott County (952) 447-3395
PATTI WEST
Massage Therapist
14180 COMMERCE AVE NE
PRIOR LAKE, MN 55372
Scott County (952) 447-3395
LORI LUBOW
Physical Therapist
14180 COMMERCE AVE NE
PRIOR LAKE, MN 55372
Scott County (952) 447-3395
BETH OLSON
Massage Therapist
14180 COMMERCE AVE NE
PRIOR LAKE, MN 55372
Scott County (952) 447-3395

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 Eagle Creek Wellness Center LLC's NPI number?

The NPI number for Eagle Creek Wellness Center LLC is 1366631244. It was assigned to this organization in the NPPES registry on October 17, 2007.

Where is Eagle Creek Wellness Center LLC located?

Eagle Creek Wellness Center LLC is located at 14180 Commerce Ave NE, Prior Lake, MN 55372. The listed phone number is (952) 447-3395.

What is Eagle Creek Wellness Center 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 Eagle Creek Wellness Center LLC was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.