Provider Demographics
NPI:1366156929
Name:SAWATZKE, REID (DC)
Entity type:Individual
Prefix:DR
First Name:REID
Middle Name:
Last Name:SAWATZKE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-4901
Mailing Address - Country:US
Mailing Address - Phone:605-661-3589
Mailing Address - Fax:
Practice Address - Street 1:800 MARINER LN STE 103
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-6848
Practice Address - Country:US
Practice Address - Phone:605-661-3639
Practice Address - Fax:605-653-1585
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1455111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor