Healthcare Provider Details

I. General information

NPI: 1033043849
Provider Name (Legal Business Name): SOLMIRA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 INDUSTRIAL CT
HARTLAND WI
53029-2312
US

IV. Provider business mailing address

725 INDUSTRIAL CT
HARTLAND WI
53029-2312
US

V. Phone/Fax

Practice location:
  • Phone: 262-361-0023
  • Fax:
Mailing address:
  • Phone: 262-361-0023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: KACIE ESTES WALTERS
Title or Position: OWNER
Credential: DC
Phone: 262-361-0023