Organization
ALIGNED MODERN WELLNESS LLC
Active
Other names
Rademaker Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVA RADEMAKER DC (OWNER)
(414) 235-8740
Entity
Organization
Contact information
Practice address
6278 S 108TH ST, HALES CORNERS, WI 53130-2527
(414) 235-8740
(414) 435-3129
Mailing address
6278 S 108TH ST, HALES CORNERS, WI 53130-2527
(414) 235-8740
(414) 435-3129
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3746-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016310003
PTAN
WI
05
—
38938300
—
WI
Enumeration date
12/05/2013
Last updated
01/29/2015
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