NPI | 1366009532 |
---|---|
Former Legal Business Name | 920 WELLNESS STUDIO |
Entity Type | Organization |
Authorized Contact | MIKHAILA RISKA Owner/Doctor Of Chiropractic 920-850-6093 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2019-05-23 |
Last Update Date | 2024-08-08 |