Provider Demographics
NPI:1164001749
Name:MARQUARDT, KAYLA (DC)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:MARQUARDT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 W 57TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-3146
Mailing Address - Country:US
Mailing Address - Phone:605-274-1900
Mailing Address - Fax:605-782-9011
Practice Address - Street 1:3220 W 57TH ST STE 103
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-3146
Practice Address - Country:US
Practice Address - Phone:605-274-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1399111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor