Individual provider · Type 1 NPI
Chad Lane Tieszen, DC
Chiropractor · Canton, SD
NPI number
1669440434
Active
Practice location
128 N Dakota St
Canton, SD 57013
Fax (605) 764-2020
Mailing address
PO Box 224
Canton, SD 57013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 912 (SD) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1669440434
Chad Lane Tieszen, DC's National Provider Identifier is 1669440434, issued on Mar 9, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Canton, SD. The record was last updated on Jul 25, 2012.