Organization
BALANCED SPINE & WELLNESS, LLC
Active
Other names
Balanced Spine & Wellness Center, Balanced Spine & Wellness, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TELISHIA DEVERICKS DC (OWNER/DOCTOR)
(605) 681-4173
Entity
Organization
Contact information
Practice address
6705 W 41ST ST, SIOUX FALLS, SD 57106-1290
(605) 636-5013
(202) 967-2307
Mailing address
2309 S SADIE AVE, SIOUX FALLS, SD 57106-7353
(605) 681-4173
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528419462
NPI
SD
Enumeration date
06/10/2019
Last updated
01/03/2025
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