| NPI | 1336650043 |
|---|---|
| Former Legal Business Name | WELLNESS WAY BLOOMINGTON LLC |
| Entity Type | Organization |
| Authorized Contact | PATRICK FLYNN Owner 920-660-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2023-12-08 |