Organization
MCMAHON CHIROPRACTIC AND PHYSICAL THERAPY CLINIC LLC
Active
Other names
McMahon Chiropractic & Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J MCMAHON DC (OWNER - SOLE MEMBER)
(715) 834-4516
Entity
Organization
Contact information
Practice address
3004 GOLF RD, SUITE 100, EAU CLAIRE, WI 54701-8793
(715) 834-4516
(715) 834-0552
Mailing address
3004 GOLF RD, SUITE 100, EAU CLAIRE, WI 54701-8793
(715) 834-4516
(715) 834-0552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39000900
—
WI
Enumeration date
08/24/2007
Last updated
01/16/2019
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