Organization
CREATING ROOTS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L BROWN DC (OWNER/CHIROPRACTOR)
(262) 343-0707
Entity
Organization
Contact information
Practice address
528 SHEPHERDS DR, WEST BEND, WI 53090-8488
(262) 589-1007
Mailing address
528 SHEPHERDS DR, WEST BEND, WI 53090-8488
(262) 208-5105
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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