| NPI | 1861511479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE M HONNER Clinic Manager 605-201-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD C1019) |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: SD 1019) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-09-05 |