Provider Demographics
NPI:1215477575
Name:COOK & ANDERSON CHIROPRACTIC LLC
Entity type:Organization
Organization Name:COOK & ANDERSON CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-579-3011
Mailing Address - Street 1:326 N MAIN ST
Mailing Address - Street 2:PO BOX 3
Mailing Address - City:CADOTT
Mailing Address - State:WI
Mailing Address - Zip Code:54727-9658
Mailing Address - Country:US
Mailing Address - Phone:715-978-0600
Mailing Address - Fax:715-978-0601
Practice Address - Street 1:326 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CADOTT
Practice Address - State:WI
Practice Address - Zip Code:54727-9658
Practice Address - Country:US
Practice Address - Phone:715-978-0600
Practice Address - Fax:715-978-0601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4987-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty