Body Wave Corporation

NPI #1760725329 in Fitchburg, Wisconsin

Provider Information

NPI Number: 1760725329
Entity Type: Organization
Organization Name: Body Wave Corporation
Primary Specialty: Chiropractor
Enumeration Date: Apr 2, 2013
Last Updated: Jun 18, 2015

Practice Location

Address: 2984 TRIVERTON PIKE DR
Address 2: STE. 102
City: Fitchburg
State: Wisconsin
ZIP Code: 53711-5841
Phone: (608) 556-1705

Authorized Official

Name: LAURA ANN KONOPACKI, D.C.
Title: OWNER
Phone: (608) 556-1705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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