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

Minnesota Head and Neck Pain Clinic, PA

Organization Specialist · NPI 1871975607

Minnesota Head and Neck Pain Clinic, PA is a Specialist in Plymouth, Minnesota. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3475 Plymouth Blvd Ste 200
Plymouth, MN 55447-1499
Phone: (763) 577-2484
Fax: (763) 577-1375
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1871975607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tia Reichert — Chro/Clinic Administrator · (763) 577-2484
NPI enumeratedJune 29, 2015
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address3475 Plymouth Blvd, Suite 200, Plymouth, MN 55447-1499

Other providers in Plymouth