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

Dr. Krystle E Lieberman Wall, DC, RD, LD, CBSLC

Individual provider Registered Dietitian · NPI 1699093021

Dr. Krystle E Lieberman Wall, DC, RD, LD, CBSLC is a Chiropractic in Golden Valley, Minnesota. Graduated from Northwestern College of Chiropractic in 2009, 17 years ago. Practices with Advanced Medical of Twin Cities, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Trained at
Northwestern College of Chiropractic
Licensed in
MN
In the registry since
2010
Specialties on file
4
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

5801 Duluth St Ste 150
Golden Valley, MN 55422-3958
Phone: (736) 541-1280
Fax: (763) 541-1012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5317 (MN)
Registered Dietitian Taxonomy 133V00000X · Licence 2716 (MN)
Acupuncturist Taxonomy 171100000X · Licence 876 (MN)
Lactation Consultant (Non-RN) Taxonomy 174N00000X (MN)

Record details

NPI number1699093021
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC , RD , LD , CBSLC
Sole proprietorNo
NPI enumeratedMay 10, 2010
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing address5801 Duluth St, Suite 150, Golden Valley, MN 55422-3958

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2009 (17 years in practice)
Group practice Advanced Medical Of Twin Cities, P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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