Provider Demographics
NPI:1578367645
Name:RIEKE, GRACE KATHERINE (DC)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:KATHERINE
Last Name:RIEKE
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 8TH ST NW STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-5927
Mailing Address - Country:US
Mailing Address - Phone:507-424-0655
Mailing Address - Fax:
Practice Address - Street 1:3510 8TH ST NW STE 100
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-5927
Practice Address - Country:US
Practice Address - Phone:507-424-0655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7332111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor