# RAPID CITY ACUPUNCTURE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1528350576
- **Authorized official:** MR. JESSE LYNN GILLIAM L.AC (SOLE MEMBER)
- **Authorized official phone:** (605) 415-8739

## Contact information

- **Practice address:** 2720 W MAIN ST, RAPID CITY, SD 57702-8128
- **Practice address phone:** (605) 791-4001
- **Practice address fax:** (605) 791-4001
- **Mailing address:** 2720 W MAIN ST, RAPID CITY, SD 57702-8128
- **Mailing address phone:** (605) 791-4001
- **Mailing address fax:** (605) 791-4001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC01246 | TX | Yes |

## Other

- **Enumeration date:** 05/10/2011
- **Last updated:** 07/05/2012