| NPI | 1497001325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE TRAVIS NYE Chief Manager And Member 608-833-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5499) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2023-05-22 |