| NPI | 1720355589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER RAY PARHAM President 605-335-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 926) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: SD 926) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |