Individual provider · Type 1 NPI
Jimmy A. Reidt, DC
Chiropractor · Shell Lake, WI
NPI number
1508910514
Active
Practice location
17 5th Ave
Shell Lake, WI 54871
Mailing address
PO Box 637
Shell Lake, WI 54871-0637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2861 (WI) |
| Chiropractor | 111N00000X | 3069 (MN) |
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.
3 other providers at this address
Other chiropractor providers in Shell Lake
About NPI 1508910514
Jimmy A. Reidt, DC's National Provider Identifier is 1508910514, issued on Jan 23, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Shell Lake, WI. The record was last updated on Jun 21, 2013.