TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC NPI 1114180767

NPI Information

  • NPI: 1114180767
  • Provider Name: TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Former Legal Business Name: TRI-STATE CHIROPRACTIC CLINIC INC
  • CLIA Number: 28D0455674
  • Address: 3900 DAKOTA AVE STE 6
    SOUTH SIOUX CITY, NE
    ZIP 68776
  • Phone: (402) 494-5173

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NPI Details

TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC is a chiropractor in South Sioux City, NE. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC NPI is 1114180767. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Tri-state Chiropractic Clinic Inc.

The provider's business location address is:

3900 DAKOTA AVE STE 6
SOUTH SIOUX CITY, NE
ZIP 68776-696
Phone: (402) 494-5173
Fax: (402) 494-5151

The provider's authorized official is Tim E Luse .
The authorized official title is Medical Administrator and has the following contact phone number (402) 494-5173.

The CLIA number assigned to this NPI record is 28D0455674 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 7/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor684NEBRASKANo
2111N00000XChiropractor1289NEBRASKANo
3174400000XSpecialist82NEBRASKANo
4111N00000XChiropractor753NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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