Organization
FIT FOR LIFE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY LYNNE KRUCKENBERG DC (OWNER/CHIROPRACTOR)
(952) 250-4591
Entity
Organization
Contact information
Practice address
312 E HOLLY BLVD, BRANDON, SD 57005-1240
(605) 254-7735
Mailing address
312 E HOLLY BLVD, BRANDON, SD 57005-1240
(605) 254-7735
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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