DR. TRACEY LYNNE KRUCKENBERG D.C. NPI 1811318470

NPI Information

NPI: 1811318470
Provider Name: DR. TRACEY LYNNE KRUCKENBERG, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Organization: BRIDGES CHIROPRACTIC Address:
5015 S WESTERN AVE STE 160
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 271-8160
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DR. Tracey Lynne Kruckenberg, D.C. is a chiropractor in Sioux Falls, SD with 13 years of experience. 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. DR. Tracey Lynne Kruckenberg, D.C. NPI is 1811318470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduation Year:2011

The provider's business location address is:

5015 S WESTERN AVE STE 160
SIOUX FALLS, SD
ZIP 57108-025
Phone: (605) 271-8160
Fax: (605) 271-8186

The enumeration date for this NPI number is 12/30/2013 and was last updated on 10/5/2020.

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
1	111N00000X	Chiropractor		1339	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1801166889	OTHER	SOUTH DAKOTA	NPI
2	1339	OTHER	SOUTH DAKOTA	STATE LICENSE
3	LICENSE	OTHER	SOUTH DAKOTA	1339

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: 11/14/2023

NPI Synchronization or Removal

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