Organization
TIMOTHY JAMES HENDESON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JAMES HENDERSON D.C. (CHIROPRACTOR)
(605) 430-0382
Entity
Organization
Contact information
Practice address
610 EAST BLVD, RAPID CITY, SD 57701-2902
(605) 342-3908
(605) 342-0250
Mailing address
610 EAST BLVD, RAPID CITY, SD 57701-2902
(605) 342-3908
(605) 342-0250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1055
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7602532
—
SD
Enumeration date
04/10/2015
Last updated
04/10/2015
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