WINNECONNE CHIROPRACTIC AND SPORTS REHAB LLC (NPI# 1346658903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346658903 |
| Entity Type | Organization |
| Organization Name | WINNECONNE CHIROPRACTIC AND SPORTS REHAB LLC |
| Practice Address |
238 W Main Street Winneconne WI 54986 |
| Mailing Address |
Po Box 365 Winneconne WI 54986-0365 |
| Practice Telephone | 9207060178 |
| Practice Fax Number | 9207060179 |
| Mailing Telephone | 9207060178 |
| Mailing Fax Number | 9207060179 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | DR. ALEXANDRA GRACE KELLOGG (OWNER) |
| Authorized Official Telephone | 9209154210 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
4667-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1619278819 | 05 |
| Street Address |
238 W MAIN STREET |
| City | WINNECONNE |
| State | WI |
| Zip Code | 54986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588770671 | Timothy Owen Mcginnis | Chiropractor | 11 N 6th Ave, Winneconne, WI 54986 | 2006-08-22 |
| 1972942175 | Kimberly Ann Lewis | Counselor | 140 W Main Street, The Growing Tree, Winneconne, WI 54986 | 2013-06-20 |
| 1619278819 | Alexandra Kellogg | Chiropractor | 238 W Main St, Winneconne, WI 54986 | 2010-11-04 |
| 1013174465 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 916 E Main St, Winneconne, WI 54986 | 2008-05-21 |
| 1326242496 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6085 Harbour View Dr, Winneconne, WI 54986-8656 | 2007-06-13 |
| 1295262772 | Evelyn Lauren Andersen | Registered Nurse | 6085 Harbour View Dr, Winneconne, WI 54986-8656 | 2017-05-16 |
| 1336772730 | Luke William Berglund | Student in an Organized Health Care Education/Training Program | 1132 Aster Ln, Winneconne, WI 54986-9166 | 2020-02-14 |
| 1376817163 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 946 E Main St., Winneconne, WI 54986-9396 | 2012-02-27 |
| 1144531757 | The Growing Tree Counseling & Wellness | Counselor | 140 W Main St Ste A, Winneconne, WI 54986-9409 | 2010-06-29 |
| 1457566689 | Audra A Eggum | Social Worker | 140 W Main St, Suite A, Winneconne, WI 54986-9409 | 2007-05-11 |
| Find all providers in zip 54986 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760727937 | Frederick Knight Sheppard | Chiropractor | 2649 Bay Settlement Rd, Green Bay, WI 54311-7328 | 2012-11-29 |
| 1306102066 | Imagine Chiropractic and Wellness Center, Inc. | Chiropractor | 445 Cardinal Ln Ste 110, Green Bay, WI 54313-9577 | 2012-04-06 |
| 1609146182 | Grace E Zuiker Nash | Chiropractor | 5829 Birch Ln, Rhinelander, WI 54501-8986 | 2011-12-30 |
| 1477724276 | Washa Chiropractic Clinic, Inc. | Chiropractor | 1415 State Road 16, La Crosse, WI 54601-2980 | 2008-03-19 |
| 1235318585 | Newcare Integrated Health Services, S.c. | Chiropractor | 1366 Appleton Rd, Suite A, Menasha, WI 54952-1504 | 2007-11-02 |
| 1114126570 | Jay J Meverden | Chiropractor | 2600 Stewart Ave Ste 154, Wausau, WI 54401-1404 | 2007-07-16 |
| 1679785729 | Twit Chiropractic Clinic, S.c. | Chiropractor | 3125 Main Street, Stevens Point, WI 54481 | 2007-05-03 |
| 1750507885 | Taylor Chiropractic & Sports Injury Center, S.c. | Chiropractor | 153 E Jefferson St, Spring Green, WI 53588 | 2007-04-17 |
| 1851425052 | William E Atkinson | Chiropractor | 1344 Creston Park Dr, Janesville, WI 53545-1113 | 2007-03-16 |
| 1851426472 | John Anthony Petry | Chiropractor | 75 W Fulton St, Edgerton, WI 53534-1819 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | WINNECONNE |
| Zip Code | 54986 |
Please comment or provide details below to improve the information on WINNECONNE CHIROPRACTIC AND SPORTS REHAB LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.