NPI 1740778422

Fit for Life Chiropractic, LLC

Organisation Chiropractor Brandon, SD

Practice location

Address: 312 E Holly Blvd, Brandon, SD 57005-1240
Phone: (605) 254-7735

Authorised official

Name: Tracey Lynne Kruckenberg
Title: Owner/Chiropractor
Phone: (952) 250-4591

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1740778422
Entity type: Organization
NPI issued: 27 Apr 2018
Record last updated: 27 Apr 2018

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.