SPINEWORKS DECOMPRESSION & CHIROPRACTIC LLC NPI 1508023417

NPI Information

  • NPI: 1508023417
  • Provider Name: SPINEWORKS DECOMPRESSION & CHIROPRACTIC, LLC
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 925 MILWAUKEE AVE
    SUITE A
    BURLINGTON, WI
    ZIP 53105
  • Phone: (262) 763-5800

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NPI Details

SPINEWORKS DECOMPRESSION & CHIROPRACTIC, LLC is a point of service in Burlington, WI. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. SPINEWORKS DECOMPRESSION & CHIROPRACTIC, LLC NPI is 1508023417. The provider is registered as an organization entity type.

The provider's business location address is:

925 MILWAUKEE AVE
SUITE A
BURLINGTON, WI
ZIP 53105-351
Phone: (262) 763-5800
Fax: (262) 763-5815

The provider's authorized official is Troy Bruesewitz .
The authorized official title is Chiropractor and has the following contact phone number (262) 763-5800.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/13/2020.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service3840-012WISCONSINYes

What is NPI?

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This page was last updated on: 11/21/2025

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