Organization
EAST FOUNTAIN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATI GHESS DC (OWNER)
(715) 267-7000
Entity
Organization
Contact information
Practice address
124 N MAIN ST, GREENWOOD, WI 54437-9419
(715) 267-7000
Mailing address
PO BOX 217, GREENWOOD, WI 54437-0217
(715) 267-7000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5297-12
WI
Other
Enumeration date
09/29/2017
Last updated
10/05/2017
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