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 |