Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bass Lake Chiropractic Clinic, PA

Organization Chiropractor · NPI 1487747226

Bass Lake Chiropractic Clinic, PA provides Chiropractor services in Crystal, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5640 W Broadway Ave
Crystal, MN 55428-3556
Phone: (763) 537-8070
Fax: (763) 537-9513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC4020 (MN)

Record details

NPI number1487747226
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Vinje — Owner · (763) 537-8070
NPI enumeratedOctober 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5640 W Broadway Ave, Crystal, MN 55428-3556

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