NPI | 1619165875 |
---|---|
Other Name | OTTO CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | KENNETH L OTTO Co Owner, AO 920-915-6802 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3082-012) |
Enumeration Date | 2007-10-11 |
Last Update Date | 2023-04-05 |