Individual provider · Type 1 NPI
Kellen Blanck-Grott, DC
Chiropractor · Crivitz, WI
NPI number
1306200472
Active
Practice location
709 Dyer St
Crivitz, WI 54114
Other practice locations
- 119 Congress St, Oconto, WI 54153-1533 · (715) 854-5025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5160-12 (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.
2 other providers at this address
Other chiropractor providers in Crivitz
About NPI 1306200472
Kellen Blanck-Grott, DC's National Provider Identifier is 1306200472, issued on Apr 5, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Crivitz, WI. The record was last updated on Jul 12, 2018.