Appleton Wellness Way LLC
Chiropractor in Kimberly, WI. Organization (NPI-2).
NPI number1376908061
StatusActive
Last updated in NPPESFeb 22, 2016
Details
- NPI
- 1376908061
- Entity type
- Organization (NPI-2)
- Legal business name
- Appleton Wellness Way LLC
- Organization subpart
- No
- Enumeration date
- Dec 22, 2015
- Last updated
- Feb 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 4405-012 | WI | Yes |
Practice location
1037 Truman StSuite B
Kimberly, WI 54136-2217
Phone 920-733-3371
Mailing address
1037 Truman StSuite B
Kimberly, WI 54136-2217
Authorized official
Patrick Flynn
Member
9207333371
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