# LEAH M THIELEN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thielen Chiropractic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972615995
- **Authorized official:** LEAH MEYER THIELEN DC (OWNER)
- **Authorized official phone:** (605) 698-3522

## Contact information

- **Practice address:** 1920 SOUTH DAKOTA HWY 10, SISSETON, SD 57262-2512
- **Practice address phone:** (605) 698-3522
- **Practice address fax:** (605) 698-4465
- **Mailing address:** 1920 SOUTH DAKOTA HWY 10, SISSETON, SD 57262-2512
- **Mailing address phone:** (605) 698-3522
- **Mailing address fax:** (605) 698-4465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 02/28/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 016355400 | — | MN |
| 05 | — | 12608 | — | ND |
| 01 | — | 3C877TH | BCBS | MN |
| 01 | — | 4999408 | BCBS | SD |