| NPI | 1316166333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J KOLB President 715-425-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3093-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3035-012) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |