Driftless Chiropractic And Spinal Rehab Llc

NPI 1154712552 - Chiropractor - 111N00000X

NPI Details
NPI 1154712552
Enumeration Date 02/07/2015
Last Updated 06/02/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name SHAUNA RAE SHAUNA
Position CHIROPRACTOR/OWNER/PRESIDENT
Phone (608) 519-5690
Fax
Practice Location
1022 19TH ST S
LA CROSSE WI, 54601-5811, US
Phone (608) 519-5690
Fax
Business Location
1022 19TH ST S
LA CROSSE WI, 54601-5811, US
Phone (858) 997-9320
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 5028-12
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According to our database, Driftless Chiropractic And Spinal Rehab Llc NPI is 1154712552, taxonomy code is 111N00000X and license number is 5028-12, license state is located at Wisconsin. Driftless Chiropractic And Spinal Rehab Llc physically located at 1022 19th St S, La Crosse WI, 54601-5811. NPI Number 1033115704 has the healthcare provider type.

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1154712552 NPI number is provided on an as is basis without warranty of any kind. 1154712552 is maintained by the National Plan & Provider Enumeration System. The contents of Driftless Chiropractic And Spinal Rehab Llc are for informational purposes only.