Organization
CHIROPRACTIC HEALTH SERVICE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY S WAKEFIELD DC (OWNER)
(715) 762-2950
Entity
Organization
Contact information
Practice address
500 BIRCH ST, PARK FALLS, WI 54552-1415
(715) 762-2950
Mailing address
500 BIRCH ST, PO BOX 189, PARK FALLS, WI 54552-1415
(715) 762-2950
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2521-012
WI
225100000X
Physical Therapist
3939-24
WI
Other
Enumeration date
09/30/2015
Last updated
12/20/2016
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