Individual
JUDITH A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1280 W. MAIN ST. STE 121, SUN PRAIRIE, WI 53590
(608) 241-2004
(608) 318-0859
Mailing address
1280 W MAIN ST. STE 121, SUN PRAIRIE, WI 53590
(608) 241-2004
(608) 318-0859
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3415
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38902800
—
WI
Enumeration date
07/26/2006
Last updated
01/03/2019
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