Healthcare Provider Details

I. General information

NPI: 1366397028
Provider Name (Legal Business Name): KING CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 WOODLAND RD STE 153
DELANO MN
55328-4706
US

IV. Provider business mailing address

125 WOODLAND RD STE 153
DELANO MN
55328-4706
US

V. Phone/Fax

Practice location:
  • Phone: 612-354-6690
  • Fax:
Mailing address:
  • Phone: 612-354-6690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATHAN WAYNE KING
Title or Position: CHIROPRACTOR / OWNER
Credential: DC, MS, CCSP
Phone: 612-354-6690