Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Clinic, PA

Organization Rehabilitation Chiropractor · NPI 1023296167

Life Clinic, PA provides Rehabilitation Chiropractor services in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
Specialties on file
2
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

5525 Cedar Lake Rd S
St Louis Park, MN 55416-1420 Not confirmed with CMS for 12 years — call before visiting
Phone: (651) 690-0866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X · Licence 3221 (MN)
Physical Therapist Taxonomy 225100000X · Licence 8737 (MN)

Record details

NPI number1023296167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reza Alizadeh — Chiropractor · (612) 868-6894
NPI enumeratedJanuary 31, 2008
Last updated in NPPESAugust 11, 2014
Mailing address33 Hamline Ave S, Saint Paul, MN 55105-2231

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