Organization
BODY WAVE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ANN KONOPACKI D.C. (OWNER)
(608) 556-1705
Entity
Organization
Contact information
Practice address
2984 TRIVERTON PIKE DR, STE. 102, FITCHBURG, WI 53711-5841
(608) 556-1705
Mailing address
2984 TRIVERTON PIKE DR, STE. 102, FITCHBURG, WI 53711-5841
(608) 556-1705
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
391512
WI
Other
Enumeration date
04/02/2013
Last updated
06/18/2015
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