Organization
KINESIO PROF LLC
Active
Other names
Kinesio Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN DEWITT (OWNER)
(605) 261-1603
Entity
Organization
Contact information
Practice address
7424 S HOMAN PL UNIT 8, SIOUX FALLS, SD 57108-8490
(605) 261-1603
Mailing address
7424 S HOMAN PL UNIT 8, SIOUX FALLS, SD 57108-8490
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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