Organization
CODY CHIROPRACTIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CODY DC (MEMBER)
(608) 643-5060
Entity
Organization
Contact information
Practice address
462 WATER ST, PRAIRIE DU SAC, WI 53578-1127
(608) 643-5060
Mailing address
462 WATER ST, PRAIRIE DU SAC, WI 53578-1127
(608) 643-5060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4031012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38954600
—
WI
Enumeration date
09/26/2007
Last updated
04/22/2015
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