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EAGLE TRACE WELLNESS CENTER, PA
NPI 1790932390
Chiropractor in Burnsville, MN

Active since August 26, 2008
12002 COUNTY ROAD 11, BURNSVILLE, MN 55337(952) 808-2922(952) 808-2910 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eagle Trace Wellness Center, Pa NPPES

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

EAGLE TRACE WELLNESS CENTER, PA (NPI 1790932390) is a healthcare organization registered as a chiropractor in Burnsville, Minnesota and active in the NPI registry since August 2008. The organization lists Elisa Marie Kensinger, Vice President, Secretary, Treasure, as its authorized official.

NPPES Registry Identity

NPI1790932390
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEAGLE TRACE WELLNESS CENTER, PA
Location Address12002 COUNTY ROAD 11Burnsville, MN 55337-3016
Mailing Address12002 County Road 11Burnsville, MN 55337-3016 · (952) 808-2922 · Fax (952) 808-2910
Phone(952) 808-2922
Fax(952) 808-2910
Organization SubpartNo
Authorized OfficialElisa Marie KensingerVice President, Secretary, Treasure · (952) 808-2922
Enumeration DateAugust 26, 2008
✔ NPI 1790932390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in MN · 5077✔ Licensed in MN · 5104
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.
Also ListedAcupuncturistTaxonomy 171100000X · License 832 (MN)
12002 COUNTY ROAD 11, Burnsville, MN 55337
Open in Google Maps ↗

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 3

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

JEFFREY PLASTER DC
Chiropractor
12002 COUNTY ROAD 11
BURNSVILLE, MN 55337
Dakota County (763) 898-3517
DR. DEAN FRANCIS JANKORD D.C.
Chiropractor
12002 COUNTY ROAD 11
BURNSVILLE, MN 55337
Dakota County (952) 890-3141
CAROL KAY WILSON
Massage Therapist
12002 COUNTY ROAD 11
BURNSVILLE, MN 55337
Dakota County (952) 808-2922

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 Trace Wellness Center, PA's NPI number?

The NPI number for Eagle Trace Wellness Center, PA is 1790932390. It was assigned to this organization in the NPPES registry on August 26, 2008.

Where is Eagle Trace Wellness Center, PA located?

Eagle Trace Wellness Center, PA is located at 12002 County Road 11, Burnsville, MN 55337. The listed phone number is (952) 808-2922.

What is Eagle Trace Wellness Center, PA'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 Trace Wellness Center, PA was last updated on August 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.