Valley Spine and Sport, LLC
Organization Active NPI Clinic/Center · Park Falls, WI
NPI 1104184613 · NPPES record last updated May 3, 2012
Key facts
- NPI
- 1104184613
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 4837-12 (WI)
- Legal business name
- VALLEY SPINE AND SPORT, LLC
- Practice address
- N14889 Kaiser Rd
Park Falls, WI 54552-8221 - Phone
- (608) 780-4937
- NPI assigned
- May 3, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Alex John Tapplin, D.C.
- Title
- Chiropractor
- Phone
- (608) 780-4937
Practitioners 3
-
Benjamin Buckner, DC
-
Alex Tapplin, D.C.
-
Kelly D Ashbeck, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121016000021 | WI | Part B Supplier - Clinic/Group Practice | 1052561792 |
Receives reassigned benefits from 3 practitioners Practice locations: Appleton, WI |
National Provider Directory
Locations
1901 E Capitol Dr
#A
Appleton, WI 54911
Phone (920) 585-6849
3420 N Association Dr
#A
Appleton, WI 54914
Phone (920) 931-2532
145 W Wisconsin Ave
Ste G
Neenah, WI 54956
Phone (920) 931-2532
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 4837-12 | WI | Yes |
Addresses
Primary practice location
N14889 Kaiser Rd
Park Falls, WI 54552-8221
Mailing address
N14889 Kaiser Rd
Park Falls, WI 54552-8221
Other providers in Park Falls, WI
- Supportive Home Services Inc
- Benjamin J Tenpas
- The Lakes Community Health Center, Inc
- Claire Tomashek
- Up North Medical Clinic, SC
- Cynthia Marie Vittone
- Patrick Volk Jr.
- Michael William Wade
- Andrea Joy Wahhab
- Lorelei N Wakefield
All providers in Park Falls, WI · Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.