Healthcare Provider Details

I. General information

NPI: 1669769121
Provider Name (Legal Business Name): RISING SUN CHIROPRACTIC, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2011
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 S MINNESOTA AVE
SAINT PETER MN
56082-2212
US

IV. Provider business mailing address

1520 S MINNESOTA AVE
SAINT PETER MN
56082-2212
US

V. Phone/Fax

Practice location:
  • Phone: 507-934-3333
  • Fax: 507-934-3540
Mailing address:
  • Phone: 507-934-3333
  • Fax: 507-934-3540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5121
License Number StateMN

VIII. Authorized Official

Name: SETH R NELSON
Title or Position: PRESIDENT
Credential: DC
Phone: 507-934-3333