NPI | 1619173523 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE KNISLEY Office Manager 605-256-0336 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: SD 868) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: SD SD868) |
111NN0400X Chiropractor Neurology (Licence: SD SD868) | |
Enumeration Date | 2007-06-26 |
Last Update Date | 2018-07-24 |