| NPI | 1942799101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBIE KATHLEEN GOODMAN Owner/Doctor 920-427-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5156-12) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |