| NPI | 1083947410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LENZ LENZ Owner/ Chiropractor 608-274-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NP0017X Chiropractor Pediatric Chiropractor | |
| 111NS0005X Chiropractor Sports Physician | |
| 208100000X Physical Medicine & Rehabilitation | |
| 261QH0100X Clinic/Center Health Service | |
| 363AM0700X Physician Assistant Medical | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2019-02-20 |