Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 10872146 | WI |
NPI | 1376970483 |
---|---|
Provider Name | Caitlin Schmidt |
First Address | Janesville, WI 53548 |
Second Address | Janesville, WI 53548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2013 |
Last Update Date | 03/10/2013 |