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Kellen Blanck-grott, DC
Chiropractor in Crivitz, Wisconsin
NPI 1306200472

Kellen Blanck-grott is a Chiropractor based in Crivitz, WI. Kellen Blanck-grott practices in Crivitz, WI and has the professional credentials of DC. The NPI Number for Kellen Blanck-grott is 1306200472 and holds a License No. 5160-12 (Wisconsin).

The current practice location address for Kellen Blanck-grott is 709 Dyer St, Crivitz, WI and can be reached out via phone at 715-854-5025.

Location: 709 Dyer St, Crivitz, WI, 54114-7480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306200472
Provider Name
Kellen Blanck-grott
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
709 Dyer St, Crivitz, WI, 54114-7480
Phone Number
715-854-5025
Fax Number
Provider Enumeration Date
04/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
709 Dyer St
City
Crivitz
State
Wisconsin
Zip
54114
Phone Number
715-854-5025
Fax Number
person
Provider Business Mailing Address Details
Address
709 Dyer St
City
Crivitz
State
Wisconsin
Zip
54114
Phone Number
715-854-5025
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5160-12 (Wisconsin)
Definition
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.
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