Timothy James Hendeson
Chiropractor in Rapid City, SD. Organization (NPI-2).
NPI number1083000624
StatusActive
Last updated in NPPESApr 10, 2015
Details
- NPI
- 1083000624
- Entity type
- Organization (NPI-2)
- Legal business name
- Timothy James Hendeson
- Organization subpart
- No
- Enumeration date
- Apr 10, 2015
- Last updated
- Apr 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 1055 | SD | Yes |
Practice location
610 East BlvdRapid City, SD 57701-2902
Phone 605-342-3908 · Fax 605-342-0250
Mailing address
610 East BlvdRapid City, SD 57701-2902
Phone 605-342-3908 · Fax 605-342-0250
Authorized official
Timothy James Henderson
Chiropractor
6054300382
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