Provider Demographics
NPI:1740651074
Name:SECRAW, JOSHUA JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JOHN
Last Name:SECRAW
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 SCHNEIDER AVE SE
Mailing Address - Street 2:SUITE #5
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-2591
Mailing Address - Country:US
Mailing Address - Phone:715-232-8858
Mailing Address - Fax:
Practice Address - Street 1:3120 SCHNEIDER AVE SE
Practice Address - Street 2:SUITE #5
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751-2591
Practice Address - Country:US
Practice Address - Phone:715-232-8858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-13
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5117-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor