| NPI | 1962425355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED D HOLTHE Owner Chiropractor 608-848-2638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3554-012) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |