Organization
NEURO DYNAMICS SD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY LELAND KROTTINGER (MANAGER)
(918) 932-2734
Entity
Organization
Contact information
Practice address
550 N 5TH ST STE 219, RAPID CITY, SD 57701-1375
(918) 770-9333
Mailing address
22 S LEWIS AVE, TULSA, OK 74104-1615
(918) 932-2734
(918) 932-2734
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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