Kassy Jo Fuller, DC
Chiropractor · Antigo, WI
Practice location
2006 Progress BlvdAntigo, WI 54409-2475
- Phone
- (715) 623-5481
NPI record
- NPI
- 1316410368
- Entity type
- Individual (Type 1)
- Enumeration date
- January 2, 2019
- Last updated
- May 7, 2024
- Certified
- May 7, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
5664-12 | WI |
| Chiropractor | 111N00000X |
60892858 | WA |
About Dr. Fuller
Kassy Jo Fuller, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 2006 Progress Blvd, Antigo, WI 54409-2475. The NPI number 1316410368 was assigned on January 2, 2019 and the record was last updated on May 7, 2024.
Dr. Fuller lists 2 licenses in the registry: #5664-12 (WI) for Chiropractor; #60892858 (WA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kassy Jo Fuller, DC?
The NPI number is 1316410368.
What is the phone number of Dr. Fuller?
The phone number listed for the practice location is (715) 623-5481.
Where is Dr. Fuller located?
2006 Progress Blvd, Antigo, WI 54409-2475.
What is the taxonomy code for Dr. Fuller?
The primary taxonomy code is 111N00000X – Chiropractor; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Chiropractor providers in Antigo
- Angela Renee Thiele, D.C.2006 Progress Blvd
- Antigo Family Chiropractic Center LLC1029 5TH Ave
- Ellen Maureen Sauer-Draeger, DC239 Superior Street
- Nicole Suzanne Debroux, DC2006 Progress Blvd
- Curt J. Draeger, D.C.2327 Neva Rd
- Integrated Pain Solutions LLCN2120 County Rd S
- Earl J. Roth, DC721 Century Ave
- Nicholas R. Wachtel, D.C.2006 Progress Blvd
- Andrew Cary Krueger, D.C.436 Superior St
- Antigo Chiropractic Health Center, Inc941 Century Ave
- Stacy M. Bula, DC537 Field St
- Gerald N. Rindal, D.C.1029 5TH Ave