| NPI | 1215234448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK KENNETH LAWSON Owner 920-553-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: WI 4648-012) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |