Legacy Spine and Sport LLC

NPI #1669240073 in Reedsville, Wisconsin

Provider Information

NPI Number: 1669240073
Entity Type: Organization
Organization Name: Legacy Spine and Sport LLC
Primary Specialty: Chiropractor
Enumeration Date: Dec 14, 2023
Last Updated: Apr 19, 2024

Practice Location

Address: 106 MILL ST
City: Reedsville
State: Wisconsin
ZIP Code: 54230-1700
Phone: (920) 901-3382

Authorized Official

Name: DR. COLBY KASTEN, DC
Title: CHIROPRACTOR
Phone: (920) 588-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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