Organization · NPI-2

Breath Of Life Chiropractic Wellness Center

Clinic/Center · Appleton, WI

NPI number1508159088
StatusActive
Last updated in NPPESMay 17, 2011

Details

NPI
1508159088
Entity type
Organization (NPI-2)
Legal business name
Breath Of Life Chiropractic Wellness Center
Organization subpart
No
Enumeration date
May 17, 2011
Last updated
May 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center4205-12WIYes

Other names

  • Breath Of Life Chiropractic (Doing Business As)

Practice location

1703 S Oneida St
Suite C
Appleton, WI 54915-1524

Phone 920-419-1457

Mailing address

3701 S Johann Dr
Appleton, WI 54915-7066

Authorized official

Shae A Doran
Owner
9204191457

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