Organization
RADIANT LIFE, LLC
Active
Other names
Radiant Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT NIGBOR DC (PRESIDENT)
(920) 455-0020
Entity
Organization
Contact information
Practice address
2475 LINEVILLE RD STE B, GREEN BAY, WI 54313-7153
(920) 455-0020
Mailing address
2475 LINEVILLE RD STE B, GREEN BAY, WI 54313-7153
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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