Winneconne Chiropractic and Sports Rehab LLC
NPI #1346658903 in Winneconne, Wisconsin
Provider Information
- NPI Number
- 1346658903
- Entity Type
- Organization
- Organization Name
- Winneconne Chiropractic and Sports Rehab LLC
- Primary Specialty
- Chiropractor - Sports Physician
- Enumeration Date
- Jul 28, 2014
- Last Updated
- Oct 14, 2014
Practice Location
- Address
- 238 W MAIN STREET
- City
- Winneconne
- State
- Wisconsin
- ZIP Code
- 54986
- Phone
- (920) 706-0178
Authorized Official
- Name
- DR. ALEXANDRA GRACE KELLOGG, D.C
- Title
- OWNER
- Phone
- (920) 915-4210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Sports Physician — Sports Physician |
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