# TOUCHBACK CHIROPRACTIC AND WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487834156
- **Authorized official:** DR. TUCKER ANTHONY EMERSON D.C. (CO-OWNER)
- **Authorized official phone:** (920) 246-8470

## Contact information

- **Practice address:** 445 CARDINAL LN, SUITE 106, GREEN BAY, WI 54313-9577
- **Practice address phone:** (920) 246-8470
- **Mailing address:** 2443 MOCKINGBIRD LN, GREEN BAY, WI 54303-6275
- **Mailing address phone:** (920) 246-8470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 4342-012 | WI | Yes |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 11/09/2007