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

Dr. Carrie Ellen Clark, DC

Individual provider Chiropractor · NPI 1164461703

Dr. Carrie Ellen Clark, DC is a Chiropractic in Edina, Minnesota. Graduated from Northwestern College of Chiropractic in 2000, 26 years ago. Practices with Traditionally Healthy, a 2-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
26
Trained at
Northwestern College of Chiropractic
Licensed in
MN
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

3948 W 50th St Ste 203
Edina, MN 55424-1210
Phone: (952) 920-4528
Fax: (952) 927-4226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3928 (MN)

Record details

NPI number1164461703
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2000 (26 years in practice)
Group practice Traditionally Healthy — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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