Organization
RIVER RIDGE SPINE AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TY HARDWICK D.C. (CHIROPRACTOR)
(605) 334-7371
Entity
Organization
Contact information
Practice address
4925 E 26TH ST, SIOUX FALLS, SD 57110-6950
(605) 334-7371
Mailing address
4925 E 26TH ST, SIOUX FALLS, SD 57110-6950
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1104
SD
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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