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

Dr. Ryan William Waddell, DC

Individual provider Chiropractor · NPI 1063800704

Dr. Ryan William Waddell, DC is a Chiropractic in Blaine, Minnesota. Graduated from Northwestern College of Chiropractic in 2014, 12 years ago. Practices with Club West Chiropractic, PA, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Trained at
Northwestern College of Chiropractic
Licensed in
MN
In the registry since
2015
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

10995 Club West Pkwy Ste 400
Blaine, MN 55449-5862
Phone: (763) 400-4940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 6017 (MN)

Record details

NPI number1063800704
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 5, 2015
Last updated in NPPESJanuary 13, 2015

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2014 (12 years in practice)
Group practice Club West Chiropractic, Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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