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AWAKEN LIFE RECOVERY, LLC
NPI 1790589430
Chiropractor in Buffalo, MN

Active since April 02, 2025
8150 20TH ST SE, BUFFALO, MN 55313(844) 815-7625 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Awaken Life Recovery, Llc NPPES

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

AWAKEN LIFE RECOVERY, LLC (NPI 1790589430) is a healthcare organization registered as a chiropractor in Buffalo, Minnesota and active in the NPI registry since April 2025. The organization lists Kenneth Wilson, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1790589430
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameAWAKEN LIFE RECOVERY, LLC
Location Address8150 20TH ST SEBuffalo, MN 55313-4640
Mailing Address2556 Westview TerMinnetonka, MN 55305-3118
Phone(844) 815-7625
Organization SubpartNo
Authorized OfficialKenneth WilsonDoctor/owner · (612) 802-3646
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1790589430 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.
8150 20TH ST SE, Buffalo, MN 55313
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MINNESOTA TEEN CHALLENGE, INC
Substance Abuse Rehabilitation Facility
8150 20TH ST SE
BUFFALO, MN 55313
Wright County (612) 373-3366

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 Awaken Life Recovery, LLC's NPI number?

The NPI number for Awaken Life Recovery, LLC is 1790589430. It was assigned to this organization in the NPPES registry on April 2, 2025.

Where is Awaken Life Recovery, LLC located?

Awaken Life Recovery, LLC is located at 8150 20th St SE, Buffalo, MN 55313. The listed phone number is (844) 815-7625.

What is Awaken Life Recovery, 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 Awaken Life Recovery, LLC was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.