| NPI | 1164604914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE M GRAVESEN Owner/ President 715-262-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3723-12) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2010-10-15 |