Individual provider · Type 1 NPI
Bradley Allen Kothlow, DC
Chiropractor · Balsam Lake, WI
NPI number
1447335609
Active
Practice location
314 Main St
Balsam Lake, WI 54810-7262
Mailing address
138 Pleasant Ave
Balsam Lake, WI 54810-9019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2016012 (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.
About NPI 1447335609
Bradley Allen Kothlow, DC's National Provider Identifier is 1447335609, issued on Oct 26, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Balsam Lake, WI. The record was last updated on Jul 8, 2007.