Individual provider · Type 1 NPI

Anthony Carl Heaverlo, DC

Chiropractor · Prior Lake, MN

NPI number 1376896431 Active

Practice location

16670 Franklin Trl SE
Prior Lake, MN 55372-2924

Call (952) 447-5770 Map

Fax (952) 447-5780

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5704 (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 1376896431

Anthony Carl Heaverlo, DC's National Provider Identifier is 1376896431, issued on Oct 25, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Prior Lake, MN. The record was last updated on Oct 25, 2012.