MEDICARE: DR. TERRY YI DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	122459	IA

General Provider Information

NPI Number	:	1356102818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRY YI DC

Provider Business Mailing Address
First Line	:	165 WINDFLOWER BND
Second Line	:
City	:	DAKOTA DUNES
State	:	SD
Zip	:	57049-5281
Country	:	US
Telephone Number	:	712-899-1722
Fax Number	:

Provider Business Practice Location Address
First Line	:	4242 GORDON DR
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-1302
Country	:	US
Telephone Number	:	712-560-8913
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	02/01/2024

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Directions to “ DR. TERRY YI DC” Practice Location

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