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Organization

ELITE SPORT & SPINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ZACH SHIELS DC (OWNER/DOCTOR OF CHIROPRACTIC)
(262) 373-9168
Entity
Organization

Contact information

Practice address
20900 SWENSON DR STE 575, WAUKESHA, WI 53186-4040
(262) 373-9168
(262) 226-8383
Mailing address
20900 SWENSON DR STE 575, WAUKESHA, WI 53186-4040
(262) 373-9168
(262) 226-8383

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4968-12
WI
225100000X
Physical Therapist

Other

Enumeration date
11/02/2013
Last updated
06/08/2026
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