| NPI | 1245455153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL CORSI CFO 414-354-5377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-08-01 |