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Stacey Gunderson, LMT
NPI 1417594524 · on the registry since 2019 · sole proprietor
Practice
- Address
- 4751 W Park Ave
Chippewa Falls, WI 54729 - Phone
- (715) 563-3900
- Organisation at this address
- Reilly Chiropractic
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-08
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