Provider Demographics
NPI:1194843813
Name:MARSH, HEATH (DC)
Entity Type:Individual
Prefix:
First Name:HEATH
Middle Name:
Last Name:MARSH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5128 S CLIFF AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5475
Mailing Address - Country:US
Mailing Address - Phone:605-357-8093
Mailing Address - Fax:605-357-8102
Practice Address - Street 1:5128 S CLIFF AVE STE 200
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5475
Practice Address - Country:US
Practice Address - Phone:605-357-8093
Practice Address - Fax:605-357-8102
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD993111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor