Provider Demographics
NPI:1447555461
Name:TRICE, AMBER NOELLE (DC)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:NOELLE
Last Name:TRICE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4827 W 123RD ST
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-1364
Mailing Address - Country:US
Mailing Address - Phone:952-208-7421
Mailing Address - Fax:
Practice Address - Street 1:4827 W 123RD ST
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-1364
Practice Address - Country:US
Practice Address - Phone:952-208-7421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-22
Last Update Date:2011-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5249111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor