1. Home
  2. Directory
  3. Minnesota
  4. Monticello
  5. Chiropractor
  6. NPI Profile

GREAT RIVER SPINE & SPORT
NPI 1295747889
Chiropractor in Monticello, MN

Active since August 12, 2006
1260 HIGHWAY 25 S, MONTICELLO, MN 55362(763) 260-8401(763) 295-2208 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2019, Oct 7, 2019 (2 updates tracked since 2019).

About Great River Spine & Sport NPPES

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

GREAT RIVER SPINE & SPORT (NPI 1295747889) is a healthcare organization registered as a chiropractor in Monticello, Minnesota and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Big Lake and lists Bill E Mickle, Owner, as its authorized official.

NPPES Registry Identity

NPI1295747889
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBIG LAKE SPINE & SPORT, PA
Location Address1260 HIGHWAY 25 SMonticello, MN 55362-8921
Mailing Address1260 Highway 25 SMonticello, MN 55362-8921 · (763) 260-8401 · Fax (763) 263-5900
Phone(763) 260-8401
Fax(763) 295-2208
Organization SubpartNo
Authorized OfficialBill E MickleOwner · (763) 260-8401
Enumeration DateAugust 12, 2006
Last NPPES UpdateOctober 18, 20192 updates tracked since enumeration
✔ NPI 1295747889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3548
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.
1260 HIGHWAY 25 S, Monticello, MN 55362
Open in Google Maps ↗

Other Names 1

Doing Business AsGreat River Spine & Sport

Secondary Practice Location 1

Location 1751 Rose Dr Ste 108Big Lake, MN 55309-8870 · Phone (763) 260-8401 ext. 2 · Fax (763) 273-8921

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES 4

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

SARA CHRISTINE PETERSON
Massage Therapist
1260 HIGHWAY 25 S
MONTICELLO, MN 55362
Wright County (763) 260-8401
MRS. BETHANY CLARA RATHMANNER DPT
Physical Therapist
1260 HIGHWAY 25 S
MONTICELLO, MN 55362
Wright County (763) 260-8401
INTEGRATED CARE CLINICS, PA
Physical Therapist
1260 HIGHWAY 25 S
MONTICELLO, MN 55362
Wright County (763) 260-8401
MRS. STEPHANIE COON CMT
Massage Therapist
1260 HIGHWAY 25 S
MONTICELLO, MN 55362
Wright County (763) 260-8401

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 Big Lake Spine & Sport, PA's NPI number?

The NPI number for Big Lake Spine & Sport, PA is 1295747889. It was assigned to this organization in the NPPES registry on August 12, 2006. The provider is doing business as Great River Spine & Sport.

Where is Big Lake Spine & Sport, PA located?

Big Lake Spine & Sport, PA is located at 1260 Highway 25 S, Monticello, MN 55362. The listed phone number is (763) 260-8401.

What is Big Lake Spine & Sport, PA's specialty?

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

What insurance does Big Lake Spine & Sport, PA accept?

Health plans from HealthPartners list Big Lake Spine & Sport, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Big Lake Spine & Sport, PA was last updated on October 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.