NPI | 1992944961 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER W LANE Owner 605-528-3135 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1074) |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: SD 1023) |
171100000X Acupuncturist (Licence: SD 1074) | |
Enumeration Date | 2009-02-13 |
Last Update Date | 2009-02-13 |