Individual
KAYLA RAE FASCHINGBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
408 KELLER AVE S, AMERY, WI 54001-1220
(715) 386-0511
Mailing address
408 KELLER AVE S, AMERY, WI 54001-1220
(715) 529-3049
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5595-12
WI
Other
Enumeration date
12/30/2020
Last updated
01/13/2022
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