| NPI | 1770611808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL CORSI CFO 262-253-6779 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2025-08-25 |