# K.O. BODYWORKS

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

## Provider details

- **NPI number:** 1881379840
- **Authorized official:** JENNIFER KEUPPER ONEIL LMT (OWNER)
- **Authorized official phone:** (734) 674-5823

## Contact information

- **Practice address:** 801 N PAGE ST, STOUGHTON, WI 53589-1309
- **Practice address phone:** (734) 674-5823
- **Mailing address:** 1792 WILLIAMS DR, STOUGHTON, WI 53589-3342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2023
- **Last updated:** 06/19/2023