| NPI | 1699282632 |
|---|---|
| Doing Business As | ASCENT SPORTS & WELLNESS CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | GRANT KEITH RADERMACHER Owner 262-345-4166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4707-12) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |