Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Minnesota Head and Neck Pain Clinic, PA

Organization Specialist · NPI 1871975607

Minnesota Head and Neck Pain Clinic, PA provides Specialist services in Plymouth, Minnesota. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3475 Plymouth Blvd Ste 200
Plymouth, MN 55447-1499
Phone: (763) 577-2484
Fax: (763) 577-1375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1871975607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tia Reichert — Chro/Clinic Administrator · (763) 577-2484
NPI enumeratedJune 29, 2015
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address3475 Plymouth Blvd, Suite 200, Plymouth, MN 55447-1499

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