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

Dr. John Michael Ketelsen, DC

Individual provider Chiropractor · NPI 1043773013

Dr. John Michael Ketelsen, DC is a Chiropractic in Coon Rapids, Minnesota. Qualified in 2018, 8 years ago. Practices with Moe Chiro Tres PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2019
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1835 Gateway Dr NW Ste 104
Coon Rapids, MN 55448-4513
Phone: (763) 710-8888
Fax: (763) 225-5629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 6612 (MN)

Record details

NPI number1043773013
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedApril 8, 2019
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address1835 Gateway Dr Nw Ste 104, Coon Rapids, MN 55448-4513

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Moe Chiro Tres Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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