Organization
TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC
Active
Other names
TRI-STATE CHIROPRACTIC CLINIC INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM E LUSE D.C. (MEDICAL ADMINISTRATOR)
(402) 494-5173
Entity
Organization
Contact information
Practice address
3900 DAKOTA AVE STE 6, SOUTH SIOUX CITY, NE 68776-3696
(402) 494-5173
(402) 494-5151
Mailing address
3900 DAKOTA AVE STE 6, SOUTH SIOUX CITY, NE 68776-3696
(402) 494-5173
(402) 494-5151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1289
NE
111N00000X
Chiropractor
684
NE
111N00000X
Chiropractor
Primary
753
NE
174400000X
Specialist
82
NE
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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