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Mr. Bradley Allen Kothlow, DC
Chiropractor in Balsam Lake, Wisconsin
NPI 1447335609

Bradley Allen Kothlow is a Chiropractor based in Balsam Lake, WI. Bradley Allen Kothlow practices in Balsam Lake, WI and has the professional credentials of DC. The NPI Number for Bradley Allen Kothlow is 1447335609 and holds a License No. 2016012 (Wisconsin).

The current practice location address for Bradley Allen Kothlow is 314 Main St, Balsam Lake, WI and can be reached out via phone at 715-485-3575.

Location: 314 Main St, Balsam Lake, WI, 54810-9019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447335609
Provider Name
Bradley Allen Kothlow
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
314 Main St, Balsam Lake, WI, 54810-9019
Phone Number
715-485-3575
Fax Number
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38789500 05 WI
institution
Provider Business Practice Location Address Details
Address
314 Main St
City
Balsam Lake
State
Wisconsin
Zip
54810-7262
Phone Number
715-485-3575
Fax Number
person
Provider Business Mailing Address Details
Address
314 Main St
City
Balsam Lake
State
Wisconsin
Zip
54810-7262
Phone Number
715-485-3575
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2016012 (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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