Healthcare Provider Details

I. General information

NPI: 1952236739
Provider Name (Legal Business Name): PRAVO WELLNESS & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N48W14336 HAMPTON RD STE 200
MENOMONEE FALLS WI
53051-6941
US

IV. Provider business mailing address

N48W14336 HAMPTON RD STE 200
MENOMONEE FALLS WI
53051-6941
US

V. Phone/Fax

Practice location:
  • Phone: 262-502-0028
  • Fax: 262-532-4122
Mailing address:
  • Phone: 262-502-0028
  • Fax: 262-532-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW J GRBICH
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 414-526-6308