| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ZEN MATSUDA | 1356672075 | 2024-01-06 |
Zen Matsuda [M] graduated in 2008 from Northwestern College Of Chiropractic and primarily specializes in Chiropractic.
Zen Matsuda is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356672075. Registration indicates Zen Matsuda is a provider of services with a specialization in Chiropractic Providers, Chiropractor (Chiropractor, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Chiropractor, Chiropractic Providers)
| PECOS ID | 3971630823 |
| Entity Type | Individual |
| Provider Name | Zen Matsuda D.C. |
| Practice Office Address | 4570 WEST 77TH STREET SUITE 140 EDINA, MN US |
| Practice Office Telephone | 9525008733 |
| Practice Office Fax | 7635928142 |
| Mailing Address | 4570 WEST 77TH STREET SUITE 140 EDINA, MN 554357015 US |
| Business Telephone | 9525008733 |
| Business Fax | 7635928142 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 6400 Flying Cloud Dr Ste 213 | Eden Prairie, MN 553443331 | 9525008733 / 7635928142 |
| Code | Practice | License No State |
|---|---|---|
| 111N00000X PRIMARY | Chiropractic Providers Chiropractor Chiropractor Speech/Occupational/Physical Therapy/Chiropractor Chiropractor Chiropractic Providers | 5320
MN |
| 1356672075 | MEDICAID | MN |