Provider Demographics
NPI:1023859857
Name:KAISER, SARAH NICOLE (DC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE
Last Name:KAISER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 E OAK ST
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD CITY
Mailing Address - State:WI
Mailing Address - Zip Code:54013-8517
Mailing Address - Country:US
Mailing Address - Phone:218-393-9579
Mailing Address - Fax:
Practice Address - Street 1:144 EAST OAK STREET
Practice Address - Street 2:
Practice Address - City:GLENWOOD CITY
Practice Address - State:WI
Practice Address - Zip Code:54013
Practice Address - Country:US
Practice Address - Phone:715-265-7267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6191-12111N00000X
MN7237111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor