Healthcare Provider Details

I. General information

NPI: 1346407376
Provider Name (Legal Business Name): JOY KATHLEEN ZASADNY DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 10/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 S. WASHINGTON ST
ST. CROIX FALLS WI
54024
US

IV. Provider business mailing address

1651 N BEAR LAKE DR
DRESSER WI
54009-4633
US

V. Phone/Fax

Practice location:
  • Phone: 715-483-9991
  • Fax:
Mailing address:
  • Phone: 715-483-9991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4404-012
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: