MARINA PROUDFOOT D.C.
NPI 1467529560
Chiropractor in Minneapolis, MN

Active since November 30, 2006
2021 E HENNEPIN AVE STE 137, MINNEAPOLIS, MN 55413(612) 676-0438(612) 395-5247 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marina Proudfoot D.c. NPPES

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

MARINA PROUDFOOT D.C. (NPI 1467529560) is an individual chiropractor in Minneapolis, Minnesota, licensed in Minnesota (1995) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1467529560
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMARINA PROUDFOOTCredential: D.C.
Location Address2021 E HENNEPIN AVE STE 137Minneapolis, MN 55413-2723
Mailing AddressPo Box 18305Minneapolis, MN 55418-0305 · (612) 676-0438 · Fax (612) 395-5247
Fax(612) 395-5247
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateAugust 20, 2008
NPI 1467529560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 1995
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.

2021 E HENNEPIN AVE STE 137, Minneapolis, MN 55413

Other Identifiers 3

Medicaid455228800MN
Medicare ID-Type Unspecified350002359MN
Medicare UPINU0-2751MN

Other Providers at the Same Location NPPES

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

Chiropractor
2021 E HENNEPIN AVE STE 137
MINNEAPOLIS, MN 55413

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467529560, enumerated as an "individual" on November 30, 2006.

The provider is located at 2021 E HENNEPIN AVE STE 137 MINNEAPOLIS, MN 55413 and the phone number is (612) 676-0438.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.