Healthcare Provider Details
I. General information
NPI: 1558284166
Provider Name (Legal Business Name): PEAK CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1927 RUSSELL ST
SPEARFISH SD
57783-7705
US
IV. Provider business mailing address
811 VERDALE DR
SPEARFISH SD
57783-1636
US
V. Phone/Fax
- Phone: 605-705-7325
- Fax:
- Phone: 605-920-0341
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JETT
PALMER
ROGERS
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 605-920-0341