VIBRANT CHIROPRACTIC P.A. NPI 1609265156

NPI Information

  • NPI: 1609265156
  • Provider Name: VIBRANT CHIROPRACTIC P.A.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 8519 EAGLE POINT BLVD STE 175
    LAKE ELMO, MN
    ZIP 55042
  • Phone: (651) 207-4411

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NPI Details

VIBRANT CHIROPRACTIC P.A. is a chiropractor in Lake Elmo, MN. The provider is 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. VIBRANT CHIROPRACTIC P.A. NPI is 1609265156. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8519 EAGLE POINT BLVD STE 175
LAKE ELMO, MN
ZIP 55042-629
Phone: (651) 207-4411

The provider's authorized official is Thad Christopher Betzold .
The authorized official title is Co-owner and has the following contact phone number (651) 207-4411.

The enumeration date for this NPI number is 1/21/2015 and was last updated on 1/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor6028MINNESOTANo
2111N00000XChiropractor6027MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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