Healthcare Provider Details

I. General information

NPI: 1912225624
Provider Name (Legal Business Name): RAK CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2010
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3411 22ND AVE NW
ROCHESTER MN
55901
US

IV. Provider business mailing address

3411 22ND AVE NW
ROCHESTER MN
55901
US

V. Phone/Fax

Practice location:
  • Phone: 507-208-4305
  • Fax:
Mailing address:
  • Phone: 507-208-4305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5369
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5370
License Number StateMN

VIII. Authorized Official

Name: DR. RYLEY D LAYDEN
Title or Position: D.C & OWNER
Credential: D.C.
Phone: 507-208-4305