Provider Demographics
NPI:1285435305
Name:CHRISTENSEN, KAYLA JALAYNE (DACCHM, LAC)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:JALAYNE
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:DACCHM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 PARK COMMONS DR UNIT 415
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5177
Mailing Address - Country:US
Mailing Address - Phone:651-399-7145
Mailing Address - Fax:
Practice Address - Street 1:10912 GREENBRIER RD
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-3474
Practice Address - Country:US
Practice Address - Phone:651-399-7145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2105171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2015OtherMINNESOTA ACUPUNCTURE LICENSE