Individual provider · Type 1 NPI

Jessica Nicole Roth, DC

Chiropractor · Wayzata, MN

NPI number 1336843564 Active

Practice location

600 Twelve Oaks Center Dr Ste 640
Wayzata, MN 55391-4502

Call (952) 378-1085 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Chiropractor 111NP0017X7099 (MN)
Chiropractor Primary 111N00000X7099 (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 1336843564

Jessica Nicole Roth, DC's National Provider Identifier is 1336843564, issued on Mar 30, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wayzata, MN. The record was last updated on May 20, 2023.