Back On Track Family Chiropractic, LLC
Chiropractor in Chippewa Falls, WI. Organization (NPI-2).
NPI number1881752012
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1881752012
- Entity type
- Organization (NPI-2)
- Legal business name
- Back On Track Family Chiropractic, LLC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 4166012 | WI | Yes |
Practice location
1650 Hallie RdSuite 2
Chippewa Falls, WI 54729-6521
Phone 715-831-8220 · Fax 715-831-8224
Mailing address
1650 Hallie RdSuite 2
Chippewa Falls, WI 54729-6521
Phone 715-831-8220 · Fax 715-831-8224
Authorized official
Drew M Kaminski
Owner
7158318220
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