Search › Wisconsin › 111N00000X
Kassy Fuller, DC
NPI 1316410368 · on the registry since 2019
Practice
- Address
- 2006 Progress Blvd
Antigo, WI 54409 - Phone
- (715) 623-5481
- Organisation at this address
- Cornerstone Chiropractic Of Antigo Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- WA, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin