Individual provider · Type 1 NPI
Jessica Shannon, DC
Chiropractor · Lakeville, MN
NPI number
1174011167
Active
Practice location
18466 Kenyon Ave
Lakeville, MN 55044-6911
Mailing address
9620 Livery Ln
Lakeville, MN 55044-7128
Other practice locations
- 9620 Livery Ln, Lakeville, MN 55044-7128 · (651) 387-7864
- 18556 Pilot Knob Rd Ste 102, Farmington, MN 55024-8679 · (651) 387-7864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6503 (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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- Cory Dean Couillard, DC, ATCChiropractor Lakeville, MN NPI 1093812711
- Jeremy Glen Marty, DCChiropractor Lakeville, MN NPI 1104283928
- Valeriy Telkov, DCChiropractor Lakeville, MN NPI 1114403391
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- Scot GubbelsChiropractor Lakeville, MN NPI 1124763230
About NPI 1174011167
Jessica Shannon, DC's National Provider Identifier is 1174011167, issued on Apr 25, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lakeville, MN. The record was last updated on Dec 23, 2022.