Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle Creek Chiropractic

Organization Physical Therapist · NPI 1073847554

Eagle Creek Chiropractic is a Physical Therapist in Prior Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in
MN
In the registry since
2009
Specialties on file
2

Practice location Address checks out

14180 Commerce Ave NE
Prior Lake, MN 55372-1483
Phone: (952) 447-3395
Fax: (952) 447-3396
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6755 (MN)
Physical Therapist Taxonomy 225100000X · Licence 5996 (MN)

Record details

NPI number1073847554
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEagle Creek Chiropractic
Authorized official Jenna Kanitz — Office Manager · (952) 447-3395
Other names Eagle Creek Wellness Center
NPI enumeratedSeptember 30, 2009
Last updated in NPPESSeptember 30, 2009
Mailing address14180 Commerce Ave Ne, Prior Lake, MN 55372-1483

Other providers in Prior Lake