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Secrest Family Chiropractic LLC

Chiropractor in Algoma, WI. Organization (NPI-2).

NPI number1528106929
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1528106929
Entity type
Organization (NPI-2)
Legal business name
Secrest Family Chiropractic LLC
Organization subpart
No
Enumeration date
Feb 1, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor1307WIYes

Practice location

316 Steele St
Algoma, WI 54201-1265

Phone 920-487-9909 · Fax 877-898-0965

Mailing address

316 Steele St
Algoma, WI 54201-1265

Phone 920-487-9909 · Fax 877-898-0965

Authorized official

Kay K Secrest
Owner
9204879909

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