Provider Demographics
NPI:1912366030
Name:KATO FAMILY CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:KATO FAMILY CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DC
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:PRYBYLLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-594-9100
Mailing Address - Street 1:125 SAINT ANDREWS CT
Mailing Address - Street 2:STE 208
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3390
Mailing Address - Country:US
Mailing Address - Phone:507-594-9100
Mailing Address - Fax:516-706-7849
Practice Address - Street 1:125 SAINT ANDREWS CT
Practice Address - Street 2:STE 208
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3390
Practice Address - Country:US
Practice Address - Phone:507-594-9100
Practice Address - Fax:516-706-7849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3877111N00000X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty