Healthcare Provider Details
I. General information
NPI: 1366360869
Provider Name (Legal Business Name): SPEARFISH FAMILY CHIROPRACTIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
129 E LINCOLN ST
SPEARFISH SD
57783-2127
US
IV. Provider business mailing address
129 E LINCOLN ST
SPEARFISH SD
57783-2127
US
V. Phone/Fax
- Phone: 605-269-1591
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NP0017X |
| Taxonomy | Pediatric Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HANNAH
H
BRUN
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC DABCP
Phone: 605-269-1591