Individual provider · Type 1 NPI

Kassy Jo Fuller, DC

Chiropractor · Antigo, WI

NPI number 1316410368 Active

Practice location

2006 Progress Blvd
Antigo, WI 54409-2475

Call (715) 623-5481 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X60892858 (WA)
Chiropractor Primary 111N00000X5664-12 (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.

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About NPI 1316410368

Kassy Jo Fuller, DC's National Provider Identifier is 1316410368, issued on Jan 2, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Antigo, WI. The record was last updated on May 7, 2024.