| Moveology 605 | |
|
522 N Main Ave Ste 101 Sioux Falls SD 57104-5916 | |
| (605) 271-3578 | |
| Not Available |
| Full Name | Moveology 605 |
|---|---|
| Speciality | Clinic/Center |
| Location | 522 N Main Ave Ste 101, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Paul Joseph Puetz (OWNER) |
| Authorized Official Contact | 6052713578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moveology 605 522 N Main Ave Ste 101 Sioux Falls SD 57104-5916 Ph: (605) 271-3578 | Moveology 605 522 N Main Ave Ste 101 Sioux Falls SD 57104-5916 Ph: (605) 271-3578 |
| NPI Number | 1184359820 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Medicare PECOS PAC ID | 5991181729 |
|---|---|
| Medicare Enrollment ID | O20221003001586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184359820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Kylie Renee Scott |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598236770 PECOS PAC ID: 4183959455 Enrollment ID: I20191107001581 |
| Provider Name | Paul Joseph Puetz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306918354 PECOS PAC ID: 3173620333 Enrollment ID: I20221003001647 |
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