# DEEP ROOTS CHIROPRACTIC

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

## Provider details

- **NPI number:** 1972339661
- **Authorized official:** JAROD MAU DC (OWNER)
- **Authorized official phone:** (712) 333-3430

## Contact information

- **Practice address:** 208 S HOLMEN DR STE 104, HOLMEN, WI 54636-4408
- **Practice address phone:** (608) 399-2220
- **Mailing address:** 208 S HOLMEN DR STE 104, HOLMEN, WI 54636-4408
- **Mailing address phone:** (608) 399-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2024
- **Last updated:** 09/10/2024