Tenniswood Family Chiropractic S.c.

NPI #1629251160 in West Salem, Wisconsin

Provider Information

NPI Number: 1629251160
Entity Type: Organization
Organization Name: Tenniswood Family Chiropractic S.c.
Primary Specialty: Chiropractor
Enumeration Date: Dec 6, 2007
Last Updated: Dec 30, 2011

Practice Location

Address: 1537 HERITAGE BLVD
Address 2: 1537 HERITAGE BLVD
City: West Salem
State: Wisconsin
ZIP Code: 54669-9404
Phone: (608) 786-3670

Authorized Official

Name: MR. STEPHEN S TENNISWOOD, DC
Title: OWNER
Phone: (608) 786-3670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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