| NPI | 1013197904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTI K. WICK Owner/Chiropractor 262-573-4465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4353-12) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |