| NPI | 1124000286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L HEADRICK President 605-997-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: SD 587) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SD 587) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2025-09-11 |