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

Hickory Health Clinic PLLC

Organization Chiropractor · NPI 1043841414

Hickory Health Clinic PLLC is a Chiropractor in Forest Lake, 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

168 Lake St S Ste C
Forest Lake, MN 55025-4401
Phone: (651) 226-8338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1043841414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Ottomeyer — Owner · (651) 226-8338
NPI enumeratedFebruary 3, 2020
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020
Mailing address23315 Itasca Ave N, Forest Lake, MN 55025-8277

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