Provider Demographics
NPI:1194148692
Name:THERRIEN, JENNA (DC)
Entity type:Individual
Prefix:DR
First Name:JENNA
Middle Name:
Last Name:THERRIEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:GADIENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-5000
Mailing Address - Fax:
Practice Address - Street 1:300 5TH AVE NE
Practice Address - Street 2:
Practice Address - City:ISANTI
Practice Address - State:MN
Practice Address - Zip Code:55040-2205
Practice Address - Country:US
Practice Address - Phone:763-688-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5892111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor