MEDICARE: HOLLY K MUNSTERMAN

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	1525	SD

General Provider Information

NPI Number	:	1609737097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY K MUNSTERMAN

Provider Business Mailing Address
First Line	:	1515 5TH AVE
Second Line	:
City	:	BELLE FOURCHE
State	:	SD
Zip	:	57717-6031
Country	:	US
Telephone Number	:	605-892-4845
Fax Number	:	605-568-1515

Provider Business Practice Location Address
First Line	:	1515 5TH AVE
Second Line	:
City	:	BELLE FOURCHE
State	:	SD
Zip	:	57717-6031
Country	:	US
Telephone Number	:	605-892-4845
Fax Number	:	605-568-1515

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

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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Directions to “ HOLLY K MUNSTERMAN ” Practice Location

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