Organization
SHIFTING TIDES CHIROPRACTIC LLC
Active
Other names
Shifting Tides Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA HOUK DC (OWNER)
(920) 722-5454
Entity
Organization
Contact information
Practice address
1403 APPLETON RD, MENASHA, WI 54952-1101
(920) 722-5454
Mailing address
1403 APPLETON RD, MENASHA, WI 54952-1101
(920) 722-5454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5315-12
WI
Other
Enumeration date
01/05/2018
Last updated
01/31/2018
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