# HEALTHFIRST CHIROPRACTIC OF WATERTOWN

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

## Provider details

- **NPI number:** 1790915114
- **Authorized official:** MIKE HENDRICKS (CHIROPRACTOR)
- **Authorized official phone:** (605) 882-3726

## Contact information

- **Practice address:** 1024 29TH ST SE, WATERTOWN, SD 57201-9120
- **Practice address phone:** (605) 882-3726
- **Practice address fax:** (605) 882-3727
- **Mailing address:** 1024 29TH ST SE, WATERTOWN, SD 57201-9120
- **Mailing address phone:** (605) 882-3726
- **Mailing address fax:** (605) 882-3727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1086 | SD | Yes |

## Other

- **Enumeration date:** 07/20/2009
- **Last updated:** 08/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1174572309 | WELLMARK BLUE CROSS AND BLUE SHIELD | — |
| 05 | — | 1174572309 | — | SD |