Individual provider · Type 1 NPI

Jack Anthony Manzella, DC

Chiropractor · Bangor, WI

NPI number 1174652291 Active

Practice location

1505 Commercial St., Bangor Family Chiropractic
Bangor, WI 54614

Fax (608) 486-4661

Mailing address

22993 Cty. Rd. Y, Jack A. Manzella, D.c.
Rockland, WI 54653

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2555-012 (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.

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About NPI 1174652291

Jack Anthony Manzella, DC's National Provider Identifier is 1174652291, issued on Mar 5, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bangor, WI. The record was last updated on Jul 8, 2007.