NPI 1033778451
Balanced Spine & Wellness, LLC
Practice location
- Address
- 6705 W 41st St, Sioux Falls, SD 57106-1290
- Phone
- (605) 636-5013
- Fax
- (202) 967-2307
- Mailing address
- 2309 S Sadie Ave, Sioux Falls, SD 57106-7353
Authorised official
- Name
- Telishia Devericks
- Title
- Owner/Doctor
- Phone
- (605) 681-4173
Registered specialties
Health Service Clinic/Center
Primary
Registry record
- NPI
- 1033778451
- Entity type
- Organization
- NPI issued
- 10 Jun 2019
- Record last updated
- 3 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.