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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLOSSOM CHIROPRACTIC AND NATURAL MEDICINE

Active Organization

Nutrition (Chiropractor) · KENOSHA, WI

Registration Details

NPI Number
1902341548
Provider Type
Organization
NPI Issued
Jan 5, 2017 (9.2911427860365 yrs)
Last Updated
Jan 5, 2017
Licenses
038010095 (IL)
5085 (WI)
038010095 (IL)
5085 (WI)
038010095 (IL)

Practice Information

Address
3601 30TH AVE
SUITE 101
KENOSHA, WI, 531441695
Browse WI providers · Browse ZIP 53144
Phone
2622208500
Primary Specialty
Nutrition (Chiropractor)
111NN1001X
Additional Specialty
Pediatric Chiropractor
Additional Specialty
Pediatric Chiropractor
Additional Specialty
Rehabilitation (Chiropractor)
Additional Specialty
Rehabilitation (Chiropractor)

Other Nutrition (Chiropractor) Organizations in KENOSHA, WI

Name NPI
MALONE CHIROPRACTIC LLC 1972720647
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.