Individual provider · Type 1 NPI
Tyler Michael Knutson, DC, CSCS
Chiropractor · Wayzata, MN
NPI number
1467940478
Active
Practice location
1421 E Wayzata Blvd
Wayzata, MN 55391
Fax (952) 473-1851
Mailing address
10973 104th Pl N
Maple Grove, MN 55369-2826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6472 (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 1467940478
Tyler Michael Knutson, DC, CSCS's National Provider Identifier is 1467940478, issued on Apr 25, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wayzata, MN. The record was last updated on Apr 25, 2018.