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

Dr. Jeremy Glen Marty, DC

Individual provider Chiropractor · NPI 1104283928

Dr. Jeremy Glen Marty, DC is a Chiropractor in Lakeville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

18476 Kenrick Ave Ste 201
Lakeville, MN 55044-9288
Phone: (612) 440-5776
Fax: (952) 236-6732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 6189 (MN)

Record details

NPI number1104283928
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 25, 2016
Last updated in NPPESOctober 24, 2016

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