| NPI | 1083000624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JAMES HENDERSON Chiropractor 605-430-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1055) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |