WILD WILLOW NATURAL MEDICINE LLC (NPI# 1821636929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821636929 |
| Entity Type | Organization |
| Organization Name | WILD WILLOW NATURAL MEDICINE LLC |
| Practice Address |
W314n720 Highway 83 Delafield WI 53018-2900 |
| Practice Telephone | 2627065668 |
| Mailing Telephone | 2627065668 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | DR. JENNIFER MAY DOTTO (CHIROPRACTOR) |
| Authorized Official Telephone | 2627065668 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1215989165 | 05 |
| Street Address |
W314N720 HIGHWAY 83 |
| City | DELAFIELD |
| State | WI |
| Zip Code | 53018-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215989165 | Jennifer May Dotto | Chiropractor | W314n720 Highway 83, Delafield, WI 53018-2900 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063936870 | Balance Within, LLC | Clinic/Center | W314 N720 State Hwy 83, Delafield, WI 53018 | 2017-08-02 |
| 1548717861 | Anne Johnson, LLC | Community/Behavioral Health | W314 N720 Hwy 83, Delafield, WI 53018 | 2016-09-02 |
| 1912374190 | Gals Institute, LLC | Clinic/Center | 383 Williamstowne, Suite 101, Delafield, WI 53018 | 2015-08-24 |
| 1922442722 | Brittany Joelle Meyer | Family Medicine | 2301 Sun Valley Dr Ste 300, Delafield, WI 53018 | 2013-04-23 |
| 1417072497 | Sarah R R Couillard | Licensed Practical Nurse | 901 West Shore Dr, Delafield, WI 53018 | 2007-03-20 |
| 1942332440 | Yolanda Stephenson Wolff | Pediatrics | 3195 Hillside Dr, Delafield, WI 53018 | 2007-03-10 |
| 1568532521 | Maida Ann Parkins | Plastic Surgery | W307 N1497 Golf Rd, Suite 200, Delafield, WI 53018 | 2006-11-08 |
| 1871679126 | David Wolf | Chiropractor | 20 Crossroads Ct., Ste. B, Delafield, WI 53018 | 2006-10-30 |
| 1548237985 | Medical Scanning Consultants Pa | Radiology | 2574 Sun Valley Dr, Ste 100, Delafield, WI 53018 | 2006-03-03 |
| 1902873334 | Cdi Delafield LLC | Radiology | 2574 Sun Valley Drive, Suite 100, Delafield, WI 53018 | 2006-03-03 |
| Find all providers in zip 53018 | ||||
| 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 |
|---|---|---|---|---|
| 1346658903 | Winneconne Chiropractic and Sports Rehab LLC | Chiropractor | 238 W Main Street, Winneconne, WI 54986 | 2014-07-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.