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

Inner Light Chiropractic, PA

Organization Chiropractor · NPI 1396715686

Inner Light Chiropractic, PA is a Chiropractor in Brooklyn Park, 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

4630 97th Ave N
Brooklyn Park, MN 55443
Phone: (763) 486-3945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4717 (MN)

Record details

NPI number1396715686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Derhak — President · (612) 749-4600
NPI enumeratedJanuary 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4630 97th Ave N, Brooklyn Park, MN 55443

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