| NPI | 1508506353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAIAH GRIESBACH Owner 715-851-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-06-30 |