Organization
TORSON ENTERPRISES LLC
Active
Other names
Back in Action Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON C THEOBALD D.C. (CEO)
(608) 963-4507
Entity
Organization
Contact information
Practice address
550 W MAPLE ST, BARABOO, WI 53913-1166
(608) 963-4100
(608) 355-4107
Mailing address
550 W MAPLE ST, SUITE #201, BARABOO, WI 53913-1166
(608) 355-4100
(608) 355-4107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3855-012
WI
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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