Provider Demographics
NPI:1699107474
Name:HADLEY, PATRICIA YARNES (DC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:YARNES
Last Name:HADLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:YARNES
Other - Last Name:HADLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:18142 MINNETONKA BLVD
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-3327
Mailing Address - Country:US
Mailing Address - Phone:952-345-3335
Mailing Address - Fax:952-345-2107
Practice Address - Street 1:18142 MINNETONKA BLVD
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-3327
Practice Address - Country:US
Practice Address - Phone:952-345-3335
Practice Address - Fax:952-345-2107
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3186111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition