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LIFETREE CLINIC
NPI 1972860526
Acupuncturist in Burnsville, MN

Active since April 20, 2012
14585 GRAND AVE, SUITE 206, BURNSVILLE, MN 55306(952) 435-7349(952) 417-6159 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifetree Clinic NPPES

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

LIFETREE CLINIC (NPI 1972860526) is a healthcare organization registered as an acupuncturist in Burnsville, Minnesota and active in the NPI registry since April 2012. The organization maintains a secondary practice location in Roseville and lists Kyu Hong Tae, Owner, as its authorized official.

NPPES Registry Identity

NPI1972860526
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NameLIFETREE CLINIC
Location Address14585 GRAND AVE, SUITE 206Burnsville, MN 55306-5719
Mailing Address14585 Grand Ave, Suite 206Burnsville, MN 55306-5719
Phone(952) 435-7349
Fax(952) 417-6159
Organization SubpartNo
Authorized OfficialKyu Hong TaeOwner · (612) 723-2042
Enumeration DateApril 20, 2012
Last NPPES UpdateApril 17, 2018
✔ NPI 1972860526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in MN · 1529
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 0082 (MN)
14585 GRAND AVE, Burnsville, MN 55306
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Secondary Practice Location 1

Location 13101 Old Highway 8 Ste 104Roseville, MN 55113-1069 · Phone (952) 435-7349 · Fax (952) 417-6159

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

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

DR. ARIEL PETRACCA SELK L.AC., DACM
Acupuncturist
14585 GRAND AVE
BURNSVILLE, MN 55306
Dakota County (952) 435-7349

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 Lifetree Clinic's NPI number?

The NPI number for Lifetree Clinic is 1972860526. It was assigned to this organization in the NPPES registry on April 20, 2012.

Where is Lifetree Clinic located?

Lifetree Clinic is located at 14585 Grand Ave Suite 206, Burnsville, MN 55306. The listed phone number is (952) 435-7349.

What is Lifetree Clinic's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Lifetree Clinic accept?

Health plans from Medica list Lifetree Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifetree Clinic was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.