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DR. MICHAEL JOHN BOTHOF D.C.
NPI 1477622132
Chiropractor in Prior Lake, MN

Active since November 07, 2006
16154 MAIN AVE SE STE 134A, PRIOR LAKE, MN 55372(952) 447-3000(952) 447-3561 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael John Bothof D.c. NPPES

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

DR. MICHAEL JOHN BOTHOF D.C. (NPI 1477622132) is an individual chiropractor in Prior Lake, Minnesota, licensed in Minnesota (3631) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1477622132
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL JOHN BOTHOFCredential: D.C.
Location Address16154 MAIN AVE SE STE 134APrior Lake, MN 55372-4815
Mailing Address16298 Harmony PathLakeville, MN 55044-6310 · (952) 953-4740
Phone(952) 447-3000
Fax(952) 447-3561
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJune 24, 2008
✔ NPI 1477622132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3631
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.
16154 MAIN AVE SE STE 134A, Prior Lake, MN 55372
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Other Identifiers 8

Other640618MN · Acn Chirocare
Other870G2BOMN · Blue Cross Blue Shield Mn
Medicare UPINU76917MN
Medicaid642613100MN
OtherHP58905MN · Health Partners Id#
Other44-02426MN · Medica Provider #
Medicare PIN350003563MN
Other44-02425MN · Medica

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 Michael Bothof's NPI number?

The NPI number for Michael Bothof is 1477622132. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Michael Bothof located?

Michael Bothof practices at 16154 Main Ave SE Ste 134A, Prior Lake, MN 55372. The listed phone number is (952) 447-3000.

What is Michael Bothof'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 Michael Bothof was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.