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

Bass Lake Chiropractic Clinic, PA

Organization Chiropractor · NPI 1487747226

Bass Lake Chiropractic Clinic, PA is a Chiropractor 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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