Individual
DR. KRYSTAL RAE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1925 E MAIN ST, LITTLE CHUTE, WI 54140-2457
(920) 462-4630
(920) 759-5165
Mailing address
1925 E MAIN ST, LITTLE CHUTE, WI 54140-2457
(920) 462-4630
(920) 759-5165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4559-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780913202
—
WI
Enumeration date
12/11/2009
Last updated
08/24/2023
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