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

Big Lake Spine & Sport, PA

Organization Chiropractor · NPI 1295747889

Big Lake Spine & Sport, PA is a Chiropractor in Monticello, Minnesota. Works from 2 locations. Licensed in Minnesota.

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

1260 Highway 25 S
Monticello, MN 55362-8921
Phone: (763) 260-8401
Fax: (763) 295-2208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 751 Rose Dr Ste 108, Big Lake, MN 55309-8870 — (763) 260-8401

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3548 (MN)

Record details

NPI number1295747889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bill Mickle — Owner · (763) 260-8401
Other names Great River Spine & Sport; Great River Spine & Sport
NPI enumeratedAugust 12, 2006
Last updated in NPPESOctober 18, 2019
Mailing address1260 Highway 25 S, Monticello, MN 55362-8921

Other providers in Monticello