Driftless Chiropractic and Spinal Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5028-12 Issued in WI

Legal business name

DRIFTLESS CHIROPRACTIC AND SPINAL REHAB LLC

Practice address

1022 19TH St S
La Crosse, WI 54601-5811

Phone

(608) 519-5690

NPI assigned

Feb 7, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shauna Rae Mundinger, D.C.

Title

Chiropractor/Owner/President

Phone

(858) 997-9320

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1154712552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 19TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015811",
            "telephone_number": "858-997-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 19TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015811",
            "telephone_number": "608-519-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTLESS CHIROPRACTIC AND SPINAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-07",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "MUNDINGER",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-997-9320",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5028-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Lynn Drexler, D.O.
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• Chiropractor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.