| Valley Spine And Sport, Llc | |
|
N14889 Kaiser Rd Park Falls WI 54552-8221 | |
| (608) 780-4937 | |
| Not Available |
| Full Name | Valley Spine And Sport, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | N14889 Kaiser Rd, Park Falls, Wisconsin |
| Authorized Official Name and Position | Alex John Tapplin (CHIROPRACTOR) |
| Authorized Official Contact | 6087804937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Spine And Sport, Llc N14889 Kaiser Rd Park Falls WI 54552-8221 Ph: () - | Valley Spine And Sport, Llc N14889 Kaiser Rd Park Falls WI 54552-8221 Ph: (608) 780-4937 |
| NPI Number | 1104184613 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 05/03/2012 |
| Medicare PECOS PAC ID | 1052561792 |
|---|---|
| Medicare Enrollment ID | O20121016000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104184613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4837-12 (Wisconsin) | Primary |
| Provider Name | Alex J Tapplin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437429149 PECOS PAC ID: 2961652607 Enrollment ID: I20121016000671 |
| Provider Name | Kelly D Ashbeck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083865174 PECOS PAC ID: 5496067936 Enrollment ID: I20150713000002 |
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