Provider Demographics
NPI:1275946188
Name:PERSPECTIVE HEALTH CHIROPRACTIC & WELLNESS
Entity Type:Organization
Organization Name:PERSPECTIVE HEALTH CHIROPRACTIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-213-3733
Mailing Address - Street 1:900 N. MAIN AVE.
Mailing Address - Street 2:PO BOX 575
Mailing Address - City:TEA
Mailing Address - State:SD
Mailing Address - Zip Code:57064
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:910 N. MAIN AVE.
Practice Address - Street 2:SUITE 105
Practice Address - City:TEA
Practice Address - State:SD
Practice Address - Zip Code:57064
Practice Address - Country:US
Practice Address - Phone:605-213-3733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1232111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty