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

Functional Chiropractic Rehab, PLLC

Organization Clinic/Center · NPI 1073149779

Functional Chiropractic Rehab, PLLC is a Clinic/Center in Mankato, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1901 Madison Ave Ste 120
Mankato, MN 56001-6267
Phone: (605) 380-4364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1073149779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Hansen — Owner · (605) 380-4364
NPI enumeratedMarch 14, 2020
Last updated in NPPESApril 1, 2020
Certification dateApril 1, 2020
Mailing address1901 Madison Ave Ste 120, Mankato, MN 56001-6267

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