Organization · Type 2 NPI

Cardinal Chiropractic LLC

Chiropractor · Brodhead, WI

NPI number 1366780918 Active

Practice location

E101 4th St
Brodhead, WI 53520-2003

Fax (608) 897-3011

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	5080-12 (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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NPI record

NPI: 1366780918
Entity type: Organization (Type 2)
Issued: Jan 16, 2013
Last updated: Nov 8, 2021
Status: Active

Other names

<unavail>
Wilke Chiropractic Office · doing business as
Travis Malott Holdings LLC · former legal business name

Authorized official

Travis John Malott, DC
Owner
(608) 897-3010

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366780918

Cardinal Chiropractic LLC's National Provider Identifier is 1366780918, issued on Jan 16, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brodhead, WI. The record was last updated on Nov 8, 2021.