Organization
RED ROCK CHIROPRACTIC PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BENNETT D.C. (CHIROPRACTOR)
(701) 650-1958
Entity
Organization
Contact information
Practice address
8009 SHERIDAN LAKE RD, RAPID CITY, SD 57702-9041
(605) 864-1780
Mailing address
8009 SHERIDAN LAKE RD, RAPID CITY, SD 57702-9041
(605) 864-1780
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1244
SD
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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