DRIFTLESS CHIROPRACTIC AND SPINAL REHAB LLC NPI 1154712552

NPI Information

DRIFTLESS CHIROPRACTIC AND SPINAL REHAB LLC is a chiropractor in La Crosse, WI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DRIFTLESS CHIROPRACTIC AND SPINAL REHAB LLC NPI is 1154712552. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1022 19TH ST S
LA CROSSE, WI
ZIP 54601-811
Phone: (608) 519-5690

The provider's authorized official is Shauna Rae Mundinger .
The authorized official title is Chiropractor/owner/president and has the following contact phone number (858) 997-9320.

The CLIA number assigned to this NPI record is 52D2227227 - other - outpatient behavioral hea with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2015 and was last updated on 6/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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