Individual
KODYE JOAN TANGWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
16 W JOHN ST, RICE LAKE, WI 54868-2910
(715) 234-3067
Mailing address
487 E TAYLOR AVE, BARRON, WI 54812-1102
(715) 403-3718
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6257-12
WI
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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