| NPI | 1134698681 |
|---|---|
| Doing Business As | SPROUT FAMILY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | KALISTA SAWYER Owner/Chiropractor 920-202-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2019-06-11 |