Secrest Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1307 Issued in WI

Legal business name

SECREST FAMILY CHIROPRACTIC LLC

Practice address

316 Steele St
Algoma, WI 54201-1265

Phone

(920) 487-9909

Fax

(877) 898-0965

NPI assigned

Feb 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kay K Secrest, D.C.NPI 1447291331

Title

Owner

Phone

(920) 487-9909

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kay K Secrest, DC

  • Chiropractor
  • Algoma, WI
  • NPI 1447291331
  Authorized official Same address or phone

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528106929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 STEELE ST",
            "city": "ALGOMA",
            "state": "WI",
            "postal_code": "542011265",
            "telephone_number": "920-487-9909",
            "fax_number": "877-898-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 STEELE ST",
            "city": "ALGOMA",
            "state": "WI",
            "postal_code": "542011265",
            "telephone_number": "920-487-9909",
            "fax_number": "877-898-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECREST FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SECREST",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-487-9909",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Havel Prust, D.D.S.
• Rachel Marie Salzsieder, RN
• Mark John Sauter, DC
• Tina M Schmidt, PA
• Lori Schuerman, MPH, DNP,APNP, PMHNP
• Kay K Secrest, DC
• Urology Associates of Green Bay
• Amber Beth Vanden Avond, DC
• Sarah Lynn Villers, LPN
• Nicholas Wasilkoff, PT

• Chiropractor in Algoma, WI
• Providers in Algoma, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.