Individual
SHANNON KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2837 DARLING CT, LACROSSE, WI 54601-2754
(608) 783-3040
(844) 248-2389
Mailing address
2837 DARLING CT, LA CROSSE, WI 54601-2754
(608) 783-3040
(844) 248-2389
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5522-14
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5522-12
LICENSE NUMBER
WI
Enumeration date
02/26/2020
Last updated
02/26/2020
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