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

Eagle Trace Wellness Center, PA

Organization Chiropractor · NPI 1790932390

Eagle Trace Wellness Center, PA is a Chiropractor in Burnsville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12002 County Road 11
Burnsville, MN 55337-3016
Phone: (952) 808-2922
Fax: (952) 808-2910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5077 (MN)
Chiropractor Taxonomy 111N00000X · Licence 5104 (MN)
Acupuncturist Taxonomy 171100000X · Licence 832 (MN)

Record details

NPI number1790932390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elisa Kensinger — Vice President, Secretary, Treasure · (952) 808-2922
NPI enumeratedAugust 26, 2008
Last updated in NPPESAugust 26, 2008
Mailing address12002 County Road 11, Burnsville, MN 55337-3016

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