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

Minnesota Spine & Sports Rehab

Organization Sports Physician Chiropractor · NPI 1063857621

Minnesota Spine & Sports Rehab provides Sports Physician Chiropractor services in LA Crescent, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013

Practice location Address checks out

29 S Walnut St Ste 200
LA Crescent, MN 55947-1605 Not confirmed with CMS for 13 years — call before visiting
Phone: (507) 895-2940
Show map & directions

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

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 5324 (MN)

Record details

NPI number1063857621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Northrup — Owner/Operator · (507) 895-2940
NPI enumeratedMay 8, 2013
Last updated in NPPESMay 8, 2013
Mailing address29 S Walnut St Ste 200, La Crescent, MN 55947-1605