OrganizationActive
Advantage Chiropractic and Wellness
NPI 1578077442 · Clinic/Center · Prior Lake, MN
Provider details
- NPI number
- 1578077442
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Cullen Fahey, Owner
Mailing address
16197 Main Ave Se
Prior Lake, MN 55372-1704
Registry dates
- Enumerated
- 2017-11-29
- Last updated
- 2017-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.