| NPI | 1841705332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JOAN WOLF Owner/ Chiropractor 262-287-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 3919-012) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |