NPI | 1962811299 |
---|---|
Doing Business As | BACK IN ACTION CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | JASON C THEOBALD CEO 608-963-4507 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3855-012) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2014-08-12 |