| NPI | 1326108804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA RYAN CLEVELAND Vice President 715-425-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3600) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-01-23 |