River Shores Chiropractic Sc

NPI #1013197904 in West Bend, Wisconsin

Provider Information

NPI Number: 1013197904
Entity Type: Organization
Organization Name: River Shores Chiropractic Sc
Primary Specialty: Chiropractor
Enumeration Date: Nov 7, 2007
Last Updated: Nov 7, 2007

Practice Location

Address: 705 VILLAGE GREEN WAY
Address 2: SUITE 105
City: West Bend
State: Wisconsin
ZIP Code: 53090-2527
Phone: (262) 334-4070

Authorized Official

Name: DR. KRYSTI K. WICK, D.C.
Title: OWNER/CHIROPRACTOR
Phone: (262) 573-4465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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