| NPI | 1063517605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY BENESH Clinic Director 608-524-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 1736-012) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2024-08-16 |