| NPI | 1275566606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LINN RADA Owner/Chiropractor 920-686-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3703012) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2012-12-28 |