Organization · Type 2 NPI
Active Lifestyle Chiropractic,sc
Chiropractor · Wautoma, WI
NPI number
1194801191
Active
Practice location
140 N. Townline Rd.
Wautoma, WI 54982-0246
Fax (920) 787-0091
Mailing address
PO Box 246
Wautoma, WI 54982-0246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3391 (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.
Other chiropractor providers in Wautoma
About NPI 1194801191
Active Lifestyle Chiropractic,sc's National Provider Identifier is 1194801191, issued on Oct 31, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wautoma, WI. The record was last updated on Aug 22, 2020.