| NPI | 1902341548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA BRESSY CASHMORE President/Owner 262-220-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: WI 5085) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: IL 038010095) |
| 111NP0017X Chiropractor Pediatric Chiropractor (Licence: WI 5085) | |
| 111NP0017X Chiropractor Pediatric Chiropractor (Licence: IL 038010095) | |
| 111NR0400X Chiropractor Rehabilitation (Licence: WI 5085) | |
| 111NR0400X Chiropractor Rehabilitation (Licence: IL 038010095) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |