Dr. Tara Carlson
Pediatric Chiropractor
700 Twelve Oaks Center Dr Suite 734
Wayzata
, Minnesota 55391-4401
Dr. Tara Carlson
Pediatric Chiropractor
700 Twelve Oaks Center Dr Suite 734
Wayzata
, Minnesota 55391-4401
(952) 215-9411
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About
Features
Specialties
- Pediatric Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Tara Carlson
- 572 Harrington Rd
- Wayzata, MN
- Zip : 55391-1550
- Phone : (952) 215-9411
Second Address
- Dr. Tara Carlson
- 700 Twelve Oaks Center Dr Suite 734
- Wayzata, MN
- Zip : 55391-4401
- Phone : (952) 215-9411
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NP0017X | Pediatric Chiropractor | 6055 | MN |
National Provider Identifier
| NPI | 1669866968 |
|---|---|
| Provider Name | Dr. Tara Carlson |
| First Address | Wayzata, MN 55391-1550 |
| Second Address | Wayzata, MN 55391-4401 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2015 |
| Last Update Date | 24/03/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.