| NPI | 1548324742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE M. WOOD President 605-388-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: SD 1090) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |