KLETTENBERG CHIROPRACTIC PLLC
NPI 1104399708
Chiropractor in Bagley, MN

Active since January 07, 2019CLIA 24D2340460 · Waiver
119 MAIN AVE N, BAGLEY, MN 56621(218) 252-9455 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2026, Jan 7, 2019 (2 updates tracked since 2019).

About Klettenberg Chiropractic Pllc NPPES

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

KLETTENBERG CHIROPRACTIC PLLC (NPI 1104399708) is a healthcare organization registered as a chiropractor in Bagley, Minnesota and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Logan Klettenberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1104399708
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKLETTENBERG CHIROPRACTIC PLLC
Location Address119 MAIN AVE NBagley, MN 56621-8316
Mailing Address119 Main Ave NBagley, MN 56621-8316
Organization SubpartNo
Authorized OfficialLogan KlettenbergOwner · (218) 252-9455
Enumeration DateJanuary 7, 2019
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1104399708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

119 MAIN AVE N, Bagley, MN 56621

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2340460

Klettenberg Chiropractic · Bagley, MN
Active · expires Mar 16, 2028
CLIA Number24D2340460
Laboratory TypePractitioner Other
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorLogan P. Klettenberg
Laboratory Phone(218) 694-2242
Laboratory LocationKlettenberg Chiropractic119 Main Ave N, Bagley, MN 56621
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Wayne ***** June 6, 2024

5/5
Always get in quickly. Gets right to the problem and takes care of it. He is my go to guy. Very pleased.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
119 MAIN AVE N
BAGLEY, MN 56621

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 Klettenberg Chiropractic PLLC's NPI number?

The NPI number for Klettenberg Chiropractic PLLC is 1104399708. It was assigned to this organization in the NPPES registry on January 7, 2019.

Where is Klettenberg Chiropractic PLLC located?

Klettenberg Chiropractic PLLC is located at 119 Main Ave N, Bagley, MN 56621. The listed phone number is (218) 252-9455.

What is Klettenberg Chiropractic PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Does Klettenberg Chiropractic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2340460) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Klettenberg Chiropractic PLLC was last updated on April 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.