OrganizationActive
Awaken Life Recovery, LLC
NPI 1790589430 · Chiropractor · Buffalo, MN
Awaken Life Recovery, LLC is a Chiropractor organization in Buffalo, MN (NPI 1790589430).
Provider details
- NPI number
- 1790589430
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Kenneth Wilson, Doctor/Owner(612) 802-3646
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8150 20th St Se
Buffalo, MN 55313-4640
Phone: (844) 815-7625
Street-level locationGet directions
Mailing address
2556 Westview Ter
Minnetonka, MN 55305-3118
Registry dates
- Enumerated
- 2025-04-02
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Frequently asked questions
- What is Awaken Life Recovery, LLC's NPI number?
- Awaken Life Recovery, LLC's National Provider Identifier (NPI) is 1790589430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Awaken Life Recovery, LLC?
- Awaken Life Recovery, LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Awaken Life Recovery, LLC located?
- Awaken Life Recovery, LLC's practice location on file with NPPES is 8150 20th St Se, Buffalo, MN 55313-4640.
- What is Awaken Life Recovery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Awaken Life Recovery, LLC is (844) 815-7625.
- Who is the authorized official for Awaken Life Recovery, LLC?
- The authorized official listed on Awaken Life Recovery, LLC's NPPES record is Kenneth Wilson, Doctor/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Awaken Life Recovery, LLC's NPI active?
- Yes — Awaken Life Recovery, LLC's NPI (1790589430) is active in the NPPES registry as of the last update on 2025-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.