MEDICARE: WOODS CHIROPRACTIC PC

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	866	SD

General Provider Information

NPI Number	:	1558346551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODS CHIROPRACTIC PC

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	:	605-331-2052
Fax Number	:	605-274-2152

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	:	605-331-2052
Fax Number	:	605-274-2152

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHAD D WOODS
Credential	:	DC
Telephone Number	:	605-331-2052

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	09/01/2011

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