Healthcare Provider Details

I. General information

NPI: 1912366030
Provider Name (Legal Business Name): KATO FAMILY CHIROPRACTIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2016
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 NAVAHO AVE STE 110
MANKATO MN
56001-4877
US

IV. Provider business mailing address

99 NAVAHO AVE STE 110
MANKATO MN
56001-4877
US

V. Phone/Fax

Practice location:
  • Phone: 507-594-9100
  • Fax: 516-706-7849
Mailing address:
  • Phone: 507-594-9100
  • Fax: 256-291-0874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3877
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number3877
License Number StateMN

VIII. Authorized Official

Name: DR. PAULA ELIZABETH PRYBYLLA
Title or Position: OWNER/DC
Credential: DC
Phone: 507-594-9100