| NPI | 1245783778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNN RICHARDS Chiropractor 262-788-5940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 5198-12) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |