Tina M Brents-Barnhart, D.C., M.S.P.H

Individual provider Active NPI Chiropractor · Rapid City, SD

NPI 1831581206 · NPPES record last updated Feb 23, 2015

Key facts

NPI
1831581206
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
832 (SD)
Practice address
13241 Tomaha Ridge Rd
Studio a
Rapid City, SD 57702-8633
Phone
(605) 484-0377
NPI assigned
Feb 23, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
743NDMDOptometrist
832SDMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 832 SD Yes
Chiropractor 111N00000X 743 ND

Addresses

Primary practice location

13241 Tomaha Ridge Rd
Studio a
Rapid City, SD 57702-8633

Mailing address

13241 Tomaha Ridge Rd
Studio a
Rapid City, SD 57702-8633
Phone (605) 484-0377

Other providers in Rapid City, SD

All providers in Rapid City, SD · Chiropractor in South Dakota

Sources for this page

Verify at the official NPI Registry.