Kelley Chiropractic Center in Bloomer - Sports Physician
Kelley Chiropractic Center - NPI 1548305022
Kelley Chiropractic Center is a Sports Physician in Bloomer, Wisconsin. Kelley Chiropractic Center practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Kelley Chiropractic Center is 1548305022. The last update date is 2021-02-01.
Kelley Chiropractic Center's current location address is 1503 Larson St, Bloomer, Wisconsin. You can contact this provider via phone number 7155684220 and fax number 7155684201. The mailing address for Kelley Chiropractic Center is 1503 Larson St, Bloomer, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelley Chiropractic Center |
|---|---|
| Address | 1503 Larson St, Bloomer, Wisconsin |
| Phone Number | 7155684220 |
| Fax Number | 7155684201 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Swartz Jodi |
| Telephone Number | 7155684220 |
NPI Number Detail
| NPI Number | 1548305022 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2021-02-01 |
Provider Mailing Address Detail
| Address | 1503 Larson St |
|---|---|
| City | Bloomer |
| State | Wisconsin (WI) |
| Post Code | 547241632 |
| Phone Number | 7155684220 |
| Fax Number | 7155684201 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 2014-012 |
|
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38796100 | WI | -- | |
| 392035966010 | WI | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelley Chiropractic Center by the Centers for Medicare & Medicaid Services?
The Kelley Chiropractic Center has been issued the NPI (National Provider Identifier) 1548305022 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kelley Chiropractic Center is physically located?
The Kelley Chiropractic Center is physically situated at the following address: 1503 Larson St, Bloomer, WI, 547241632.
What is the Kelley Chiropractic Center's specialty and taxonomy code?
The Kelley Chiropractic Center's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548305022 to Kelley Chiropractic Center?
The Centers for Medicare & Medicaid Services originally issued the 1548305022 to Kelley Chiropractic Center on 2007-02-21.
As of what date was the information pertaining to Kelley Chiropractic Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelley Chiropractic Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-01.