NPI | 1124000286 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN L HEADRICK President 605-997-3733 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 587) |
Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: SD 587) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2020-08-22 |