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FUNCTIONAL CHIROPRACTIC REHAB, PLLC
NPI 1073149779
Clinic/Center in Mankato, MN

Active since March 14, 2020
1901 MADISON AVE STE 120, MANKATO, MN 56001(605) 380-4364 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2020, Mar 14, 2020 (2 updates tracked since 2020).

About Functional Chiropractic Rehab, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTIONAL CHIROPRACTIC REHAB, PLLC (NPI 1073149779) is a healthcare organization registered as a clinic/center in Mankato, Minnesota and active in the NPI registry since March 2020. The organization lists Benjamin Martin Hansen, Owner, as its authorized official.

NPPES Registry Identity

NPI1073149779
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFUNCTIONAL CHIROPRACTIC REHAB, PLLC
Location Address1901 MADISON AVE STE 120Mankato, MN 56001-6267
Mailing Address1901 Madison Ave Ste 120Mankato, MN 56001-6267 · (605) 380-4364
Phone(605) 380-4364
Organization SubpartNo
Authorized OfficialBenjamin Martin HansenOwner · (605) 380-4364
Enumeration DateMarch 14, 2020
Last NPPES UpdateApril 1, 20202 updates tracked since enumeration
NPPES CertifiedApril 1, 2020
✔ NPI 1073149779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1901 MADISON AVE STE 120, Mankato, MN 56001
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Other Identifiers 1

Other1326676412MN · National Provider Identifier

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Functional Chiropractic Rehab, PLLC's NPI number?

The NPI number for Functional Chiropractic Rehab, PLLC is 1073149779. It was assigned to this organization in the NPPES registry on March 14, 2020.

Where is Functional Chiropractic Rehab, PLLC located?

Functional Chiropractic Rehab, PLLC is located at 1901 Madison Ave Ste 120, Mankato, MN 56001. The listed phone number is (605) 380-4364.

What is Functional Chiropractic Rehab, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Functional Chiropractic Rehab, PLLC was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.