Healthcare Provider Details

I. General information

NPI: 1619156189
Provider Name (Legal Business Name): SCHUBBE RESCH CHIROPRACTIC & PHYSICAL THERAPY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 S COMMERCIAL ST
NEENAH WI
54956-4801
US

IV. Provider business mailing address

1511 S COMMERCIAL ST
NEENAH WI
54956-4801
US

V. Phone/Fax

Practice location:
  • Phone: 920-720-0660
  • Fax: 920-720-0666
Mailing address:
  • Phone: 920-720-0660
  • Fax: 920-720-0666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2694-012
License Number StateWI

VIII. Authorized Official

Name: MR. CHRIS RESCH
Title or Position: BUSINESS OWNER
Credential:
Phone: 920-720-0660