OrganizationRoots Chiropractic, PllcChiropractorChiropractic ProvidersPractice Address8112 Minnetonka Blvd, St Louis Park, MN 55426-3022(952) 229-4520PECOS EnrollmentBased on the most recent information from CMS, provider Roots Chiropractic, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1679187157Provider TypeOrganizationFull NameRoots Chiropractic, PllcSubpartNoEnumeration Date9/2/2020Last Updated9/2/2020Contact InformationPractice LocationPractice Address8112 Minnetonka Blvd, St Louis Park, MN 55426-3022Phone(952) 229-4520FaxUnlisted FaxMailing LocationMailing Address8112 Minnetonka Blvd, St Louis Park, MN 55426-3022PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameJung, Lashonda (Chiropractor/Co Owner)Phone(701) 320-0853Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID6586DescriptionOtherIssuerNON PARTICIPATINGMinnesotaID6600DescriptionOtherIssuerNON PARTICIPATINGMinnesota