Healthcare Provider Details

I. General information

NPI: 1609790807
Provider Name (Legal Business Name): OHANA CHIROPRACTIC AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 ENTERPRISE AVE NE STE 6
ISANTI MN
55040-6814
US

IV. Provider business mailing address

4 ENTERPRISE AVE NE STE 6
ISANTI MN
55040-6814
US

V. Phone/Fax

Practice location:
  • Phone: 763-200-0767
  • Fax: 877-539-2202
Mailing address:
  • Phone: 763-200-0767
  • Fax: 877-539-2202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDY LUSK
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 763-200-0767