| NPI | 1174812473 |
|---|---|
| Former Name | CASEY JEANNE CESSNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4772-012) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: MN 5509) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2020-07-13 |