Individual provider · Type 1 NPI

Jackson Detrick

Chiropractor · Altoona, WI

NPI number 1760946743 Active

Practice location

1893 Whistling Straits Dr
Altoona, WI 54720-2259

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5425-12 (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 1760946743

Jackson Detrick's National Provider Identifier is 1760946743, issued on Jan 24, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Altoona, WI. The record was last updated on Jan 24, 2019.