# BREATH OF LIFE CHIROPRACTIC WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Breath of Life Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508159088
- **Authorized official:** SHAE A DORAN D.C., CACCP (OWNER)
- **Authorized official phone:** (920) 419-1457

## Contact information

- **Practice address:** 1703 S ONEIDA ST, SUITE C, APPLETON, WI 54915-1524
- **Practice address phone:** (920) 419-1457
- **Mailing address:** 3701 S JOHANN DR, APPLETON, WI 54915-7066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 4205-12 | WI | Yes |

## Other

- **Enumeration date:** 05/17/2011
- **Last updated:** 05/17/2011