| NPI | 1750507885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY TAYLOR Owner,President 608-588-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WI 2870) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |