| NPI | 1972001055 |
|---|---|
| Former Name | MADISON BLAIR RESCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5683-12) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 2422-39) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2021-09-10 |