Doctor Name: | DR. CRYSTAL LEE PADEN |
NPI Number: | 1053385013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 1348 |
Business Practice Address: | 102 E. Cherry St. #106 Vermillion, SD - 570691217 |
Business Phone Number: | 6056249483 |
Business Fax Number: | 6056249687 |
Mailing Address: | 102 E. Cherry St. #106, VERMILLION |
State: | SD |
Postal Code: | 570691217 |
Phone Number: | 6056249483 |
Fax Number: | 6056249687 |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 02/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 1348 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |