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 |