Harvest Chiropractic LLC
Chiropractor in Sun Prairie, WI. Organization (NPI-2).
NPI number1982160099
StatusActive
Last updated in NPPESFeb 13, 2019
Details
- NPI
- 1982160099
- Entity type
- Organization (NPI-2)
- Legal business name
- Harvest Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2019
- Last updated
- Feb 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
110 Grand AveSuite 4
Sun Prairie, WI 53590
Phone 608-318-3602
Mailing address
110 Grand AveSuite 4
Sun Prairie, WI 53590
Phone 608-318-3602
Authorized official
Kasi Schroeder
Owner
6083183602
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