Provider Demographics
NPI:1285393405
Name:GENTLE TOUCH CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:GENTLE TOUCH CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:RYLEE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-723-5024
Mailing Address - Street 1:807 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:BELLE FOURCHE
Mailing Address - State:SD
Mailing Address - Zip Code:57717-1536
Mailing Address - Country:US
Mailing Address - Phone:605-723-5024
Mailing Address - Fax:
Practice Address - Street 1:807 10TH AVE
Practice Address - Street 2:
Practice Address - City:BELLE FOURCHE
Practice Address - State:SD
Practice Address - Zip Code:57717-1536
Practice Address - Country:US
Practice Address - Phone:605-723-5024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENTLE TOUCH CHIROPRACTIC PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDCSC103033OtherWELLMARK BCBS