NPI 1134845035

Procare Sport & Spine, LLC

Organisation Chiropractor Madison, WI

Practice location

Address: 555 S Midvale Blvd STE 113, Madison, WI 53711-1419
Phone: (608) 292-4466

Authorised official

Name: Michael Alvah Blodgett
Title: Owner
Phone: (608) 292-4466

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1134845035
Entity type: Organization
NPI issued: 13 Oct 2022
Record last updated: 13 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.