| NPI | 1548305022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI SWARTZ Owner 715-568-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WI 2014-012) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2021-02-01 |