# NELSON CHIROPRACTIC, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518417104
- **Authorized official:** DR. DEREK JULIUS NELSON D.C. (OWNER)
- **Authorized official phone:** (605) 791-5522

## Contact information

- **Practice address:** 2001 HOPE CT STE 3, RAPID CITY, SD 57701-1055
- **Practice address phone:** (605) 791-5522
- **Practice address fax:** (605) 791-0929
- **Mailing address:** 2001 HOPE CT STE 3, RAPID CITY, SD 57701-1055
- **Mailing address phone:** (605) 791-5522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1130 | SD | Yes |

## Other

- **Enumeration date:** 10/07/2016
- **Last updated:** 05/13/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7604950 | — | SD |