| NPI | 1982196630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL ROBERT COOPER Owner/Member 608-692-7958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3161-012) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-06-16 |