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

Pequot Lakes Chiropractic and Sports Injury Center PA

Organization Chiropractor · NPI 1376602656

Pequot Lakes Chiropractic and Sports Injury Center PA provides Chiropractor services in Pequot Lakes, 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

31095 Bergquist Dr
Pequot Lakes, MN 56472-0008 Not confirmed with CMS for 13 years — call before visiting
Phone: (218) 568-7767
Fax: (218) 568-4580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3271 (MN)

Record details

NPI number1376602656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Buell — Owner-Dc · (218) 568-7767
NPI enumeratedDecember 6, 2006
Last updated in NPPESOctober 11, 2012
Mailing addressPo Box 8, Pequot Lakes, MN 56472

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