Healthcare Provider Details

I. General information

NPI: 1013839315
Provider Name (Legal Business Name): ROOTS FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 PHILLIPS BLVD
SAUK CITY WI
53583-1313
US

IV. Provider business mailing address

809 PHILLIPS BLVD
SAUK CITY WI
53583-1313
US

V. Phone/Fax

Practice location:
  • Phone: 608-643-8080
  • Fax:
Mailing address:
  • Phone: 608-643-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HALEY MURPHY
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 779-537-1348