OrganizationActive
Intergrated Pain and Spine Care Sc
NPI 1457861007 · Rehabilitation Chiropractor · Milwaukee, WI
Provider details
- NPI number
- 1457861007
- Entity type
- Organization
- Primary specialty
- Rehabilitation ChiropractorChiropractic Providers
- Authorized official
- Wendy Kirk, Credentialing Specialist
- License
- 3812-012 (WI)
Practice location
5261 N Port Washington Rd Ste 100
Milwaukee, WI 53217-4903
Phone: (414) 967-9000
Fax: (414) 332-3712
Mailing address
Po Box 170181
Glendale, WI 53217-8016
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2018-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.