JASON C THEOBALD

BARABOO, WI
NPI1962509604
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: WI  3855-012)
Enumeration Date2006-09-17
Last Update Date2016-01-20
Business Address
Dr. JASON C THEOBALD DC
550 W MAPLE ST
BARABOO, WI 53913-1166
Phone number: 608-355-4100
Mailing Address
Dr. JASON C THEOBALD DC
550 W MAPLE ST SUITE # 201
BARABOO, WI 53913-1166
Phone number: 608-355-4100