MEDICARE: DR. KRIS MICHAEL ISAKSON D.C.

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	1146	SD

General Provider Information

NPI Number	:	1043444060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRIS MICHAEL ISAKSON D.C.

Provider Business Mailing Address
First Line	:	229 W 39TH ST
Second Line	:	SUITE 300
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-5700
Country	:	US
Telephone Number	:	605-610-6183
Fax Number	:	605-373-0343

Provider Business Practice Location Address
First Line	:	229 W 39TH ST
Second Line	:	SUITE 300
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-5700
Country	:	US
Telephone Number	:	605-610-6183
Fax Number	:	605-373-0343

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

Provider Enumeration Date	:	05/05/2009
Last Update Date	:	05/05/2009

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