MINNESOTA SPINE & SPORTS REHAB


Address: 29 S Walnut St Ste 200, La Crescent, MN 55947-1605
Phone: 5078952940

MINNESOTA SPINE & SPORTS REHAB (NPI# 1063857621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063857621
Entity Type Organization
Organization Name MINNESOTA SPINE & SPORTS REHAB
Practice Address 29 S Walnut St Ste 200
La Crescent
MN 55947-1605
Practice Telephone 5078952940
Mailing Telephone 5078952940
Enumeration Date 2013-05-08
Last Update Date 2013-05-08
Authorized Official Name DR. BRADLEY VERNON NORTHRUP (OWNER/OPERATOR)
Authorized Official Telephone 5078952940
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
5324 MN Chiropractic Providers

Office Location

Street Address 29 S WALNUT ST STE 200
City LA CRESCENT
State MN
Zip Code 55947-1605

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871126235 Kevin James Hosch Chiropractor 120 Midnite St, La Crescent, MN 55947 2020-02-13
1225535396 Springbrook Village of La Crescent LLC Assisted Living Facility 1384 County Road 25, La Crescent, MN 55947 2018-04-06
1548277296 Christopher David Wood Chiropractor 205 N Chestnut St, Suite 108, La Crescent, MN 55947 2006-08-02
1386843704 Traveling Angel PC Home Health 6632 State 26, La Crescent, MN 55947-0163 2007-07-16
1629307178 Tamara June Benson Registered Nurse 322 N 1st St, La Crescent, MN 55947-1105 2009-12-11
1669441556 Carrie L Gerhard Family Medicine 226 N 2nd St, La Crescent, MN 55947-1111 2006-03-14
1790297737 Jennifer Gretchen Mchugh Social Worker 226 N 2nd St, La Crescent, MN 55947-1111 2017-10-31
1982992202 Rebecca M Meinertz Nurse Practitioner 226 N 2nd St, La Crescent, MN 55947-1111 2011-07-20
1811150048 Duane K Undeland Internal Medicine 226 N 2nd St, La Crescent, MN 55947-1111 2008-07-08
1447325170 Lisa J Nutter Nurse Practitioner 226 N 2nd St, La Crescent, MN 55947-1111 2006-11-21
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902293202 Twin Cities Spine & Sports, LLC Chiropractor 4510 W 77th St, Suite 222, Edina, MN 55435-5505 2015-04-24
1831587930 Ibackcheck Chiropractic Chiropractor 3650 Plymouth Blvd, Suite 100, Plymouth, MN 55446-3201 2014-12-26
1790181915 Advanced Wellness & Sports Rehab Pa Chiropractor 11132 Commerce Ln N, Champlin, MN 55316-3112 2014-11-16
1508128232 New Creation Sports and Wellness, LLC Chiropractor 7500 Hudson Blvd N Ste 180, Oakdale, MN 55128-7064 2012-06-08
1659659159 Bradley Owen Olson Chiropractor 1312 Delaware St Nw, Hutchinson, MN 55350-3301 2011-08-01
1265738421 Don Lee Jewell Chiropractor 11222 86th Ave N, Maple Grove, MN 55369-4510 2011-02-07
1790089654 Kaitlin Renee Battaglia Chiropractor 5250 W 74th St Ste 8, Edina, MN 55439-2229 2011-01-06
1881902591 Dr. Kim Leis-keeling, LLC Chiropractor 2121 Cliff Dr Ste 101, Eagan, MN 55122-3407 2010-09-15
1740430651 Sarah Mae Peters Chiropractor 6982 Alpine Trl, Eden Prairie, MN 55346-3739 2008-09-27
1538334776 Brian D Gervais Chiropractor 6104 Olson Memorial Hwy, Suite 100, Golden Valley, MN 55422-4919 2008-04-29
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Competitor

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City LA CRESCENT
Zip Code 55947

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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