Individual provider · Type 1 NPI
John Michael Ketelsen, DC
Chiropractor · Coon Rapids, MN
NPI number
1043773013
Active
Practice location
1835 Gateway Dr NW Ste 104
Coon Rapids, MN 55448-4513
Fax (763) 225-5629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6612 (MN) |
Chiropractor: 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.
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About NPI 1043773013
John Michael Ketelsen, DC's National Provider Identifier is 1043773013, issued on Apr 8, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Jul 6, 2026.