Individual ProviderTrent AndersonChiropractorChiropractic ProvidersPractice Address2012 Louisiana Ave S, St Louis Park, MN 55426-2721(520) 977-7834(763) 276-6246PECOS EnrollmentBased on the most recent information from CMS, provider Trent Anderson 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 ID1821481201Provider TypeIndividualFull NameAnderson, TrentTitleDr.CredentialD.C.GenderMaleSole ProprietorNoEnumeration Date3/10/2015Last Updated9/21/2015Contact InformationPractice LocationPractice Address2012 Louisiana Ave S, St Louis Park, MN 55426-2721Phone(520) 977-7834FaxUnlisted FaxMailing LocationMailing Address13635 Northdale Blvd, Rogers, MN 55374-2142Phone(763) 276-6246FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense6051Minnesota