Healthcare Provider Details

I. General information

NPI: 1003735903
Provider Name (Legal Business Name): KINETIC CHIROPRACTIC & REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 E WALNUT ST
RIVER FALLS WI
54022-2439
US

IV. Provider business mailing address

2104 HUNTER HILL CT
HUDSON WI
54016-5824
US

V. Phone/Fax

Practice location:
  • Phone: 715-425-0333
  • Fax:
Mailing address:
  • Phone: 262-875-0177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JACOB FLEGNER
Title or Position: MANAGING MEMBER
Credential: DC
Phone: 262-875-0177