Individual
KELSEY JO FASCHINGBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
408 KELLER AVE S, AMERY, WI 54001-1220
(715) 268-9146
(715) 268-6907
Mailing address
408 KELLER AVE S, AMERY, WI 54001-1220
(715) 268-9146
(715) 268-6907
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4684-12
WI
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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