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

Advanced Wellness & Sports Rehab PA

Organization Sports Physician Chiropractor · NPI 1790181915

Advanced Wellness & Sports Rehab PA is a Sports Physician Chiropractor in Champlin, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11132 Commerce Ln N
Champlin, MN 55316-3112
Phone: (763) 291-0202
Show map & directions

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

Additional practice locations (1)

  • 232 Central Ave, Osseo, MN 55369-1245 — (763) 458-6299

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 5614 (MN)

Record details

NPI number1790181915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Smith — President · (763) 458-6299
NPI enumeratedNovember 16, 2014
Last updated in NPPESMarch 17, 2018
Mailing address11132 Commerce Ln N, Champlin, MN 55316-3112