Doctor Name: | KENNETH ERIC TRYGGESTAD |
NPI Number: | 1083791388 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 3401 |
Business Practice Address: | 800 Columbiana Dr Ste 100 Ste. H Irmo, SC - 290637782 |
Business Phone Number: | 8037818100 |
Business Fax Number: | 8037817200 |
Mailing Address: | Po Box 1817, IRMO |
State: | SC |
Postal Code: | 290631817 |
Phone Number: | 8033191774 |
Fax Number: | 8036619221 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 05/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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. |