Revive Chiropractic Wellness Center, Llc

NPI 1184950354 - Chiropractor - 111N00000X

NPI Details
NPI 1184950354
Enumeration Date 10/23/2009
Last Updated 10/28/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JULIE JULIE
Position CHIROPRACTOR
Phone (608) 519-2519
Fax (608) 519-2520
Practice Location
1438 MAIN ST
ONALASKA WI, 54650, US
Phone (608) 519-2519
Fax (608) 519-2520
Business Location
1438 MAIN ST
ONALASKA WI, 54650, US
Phone (608) 519-2519
Fax (608) 519-2520
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 4488-012
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According to our database, Revive Chiropractic Wellness Center, Llc NPI is 1184950354, taxonomy code is 111N00000X and license number is 4488-012, license state is located at Wisconsin. Revive Chiropractic Wellness Center, Llc physically located at 1438 Main St, Onalaska WI, 54650. NPI Number 1033115704 has the healthcare provider type.

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1184950354 NPI number is provided on an as is basis without warranty of any kind. 1184950354 is maintained by the National Plan & Provider Enumeration System. The contents of Revive Chiropractic Wellness Center, Llc are for informational purposes only.