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RESTORE SPINE AND WELLNESS LLC NPI 1013314947


NPI Information

NPI: 1013314947
Provider Name: RESTORE SPINE AND WELLNESS LLC

Former Legal Business Name: WELLNESS WAY MEQUON LLC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
122 GREEN BAY RD STE 100
THIENSVILLE, WI
ZIP 53092
Phone: (262) 478-9104
Get Directions

RESTORE SPINE AND WELLNESS LLC is a chiropractor in Thiensville, WI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. RESTORE SPINE AND WELLNESS LLC NPI is 1013314947. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Wellness Way Mequon Llc.

The provider's business location address is:

122 GREEN BAY RD STE 100
THIENSVILLE, WI
ZIP 53092-679
Phone: (262) 478-9104
Fax: (262) 478-9105

The provider's authorized official is Andrew Mcguire .
The authorized official title is Owner and has the following contact phone number (262) 478-9104.

The enumeration date for this NPI number is 11/20/2014 and was last updated on 7/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3623-012WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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