Individual provider · Type 1 NPI
Carissa Marie Jaecks, DC
Chiropractor · New London, WI
NPI number
1104133867
Active
Practice location
1620 N Shawano St, Ste E
New London, WI 54961-9318
Mailing address
702 Eisenhower Dr, Ste G
Kimberly, WI 54136-2152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4599-12 (WI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3 other providers at this address
Other chiropractor providers in New London
About NPI 1104133867
Carissa Marie Jaecks, DC's National Provider Identifier is 1104133867, issued on Sep 1, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in New London, WI. The record was last updated on Dec 1, 2017.