| NPI | 1508159088 |
|---|---|
| Doing Business As | BREATH OF LIFE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | SHAE A DORAN Owner 920-419-1457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: WI 4205-12) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |