| Fit For Life Chiropractic, Llc | |
|
312 E Holly Blvd, Brandon, SD 57005-1240 | |
| (605) 254-7735 | |
| Not Available |
| Full Name | Fit For Life Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 312 E Holly Blvd, Brandon, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740778422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Cody Lee Kruckenberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790175388 PECOS PAC ID: 4385964600 Enrollment ID: I20190314001038 |
| Provider Name | Tracey L Kruckenberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811318470 PECOS PAC ID: 6204137003 Enrollment ID: I20201120001759 |
| Mailing Address | Practice Location Address |
|---|---|
| Fit For Life Chiropractic, Llc 312 E Holly Blvd, Brandon, SD 57005-1240 Ph: (605) 254-7735 | Fit For Life Chiropractic, Llc 312 E Holly Blvd, Brandon, SD 57005-1240 Ph: (605) 254-7735 |
Envive Brandon Prof Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 220 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3944 Fax: 605-582-3698 | |
Michael John Peterson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 125 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 | |
Paige Ward, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1302 E Rushmore Dr, Brandon, SD 57005 Phone: 605-583-6546 | |
Dr. Brian John Dozark, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 128 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 Fax: 605-582-8820 | |
Dr. Phillip Myles Dixon, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 220 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3944 Fax: 605-582-3698 | |
Dr. David Fitzgerald Ward, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1302 E Rushmore Dr, Brandon, SD 57005 Phone: 605-582-6546 | |
Dr. Michael Cody Huisman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 117 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 Fax: 605-582-8820 |