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Full Motion Family Chiropractic LLC

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

NPI number1891123741
StatusActive
Last updated in NPPESMar 16, 2014

Details

NPI
1891123741
Entity type
Organization (NPI-2)
Legal business name
Full Motion Family Chiropractic LLC
Organization subpart
No
Enumeration date
Oct 30, 2013
Last updated
Mar 16, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor4937-12WIYes

Practice location

20611 Watertown Rd Ste B
Waukesha, WI 53186-1871

Phone 262-395-4015 · Fax 262-649-3600

Mailing address

20611 Watertown Rd Ste B
Waukesha, WI 53186-1871

Phone 262-395-4015 · Fax 262-649-3600

Authorized official

Jamie Mabeus
Owner
2623954015

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