Doctor Name: | DR. MANDY M PEARCE |
NPI Number: | 1487661138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 4175012 |
Business Practice Address: | 1001 Cecelia Dr Pewaukee Family Chiropractic Pewaukee, WI - 530722546 |
Business Phone Number: | 2626959206 |
Business Fax Number: | 2626959302 |
Mailing Address: | 1001 Cecelia Dr, Pewaukee Family Chiropractic PEWAUKEE |
State: | WI |
Postal Code: | 530722546 |
Phone Number: | 2626959206 |
Fax Number: | 2626959302 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 05/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4175012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |