| NPI | 1871728394 |
|---|---|
| Former Legal Business Name | THOMAS L. IVEY |
| Entity Type | Organization |
| Authorized Contact | TAYLOR J JOHNSON Owner/Chiropractor 605-225-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1151) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2015-09-15 |