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Organization
OTTO CHIROPRACTIC, S.C.
Active
Organization
OTTO CHIROPRACTIC, S.C.
Active
Other names
Otto Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH L OTTO D.C. (CO-OWNER, AO)
(920) 915-6802
Entity
Organization
Contact information
Practice address
308 E NORTHLAND AVE, APPLETON, WI 54911-2163
(920) 739-6800
(920) 739-3999
Mailing address
308 E NORTHLAND AVE, APPLETON, WI 54911-2163
(920) 739-6800
(920) 739-3999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3082-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38976800
—
WI
Enumeration date
10/11/2007
Last updated
04/05/2023
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