JACOB JON DESANTIS

RICE LAKE, WI
NPI1952878415
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: WI  5417)
Enumeration Date2018-11-01
Last Update Date2026-04-18
Business Address
JACOB JON DESANTIS
16 W JOHN ST STE 3
RICE LAKE, WI 54868-2918
Phone number: 715-205-5564
Mailing Address
JACOB JON DESANTIS
16 W JOHN ST STE 3
RICE LAKE, WI 54868-2918
Phone number: 715-205-5564