Healthcare Provider Details

I. General information

NPI: 1609802149
Provider Name (Legal Business Name): KIM LOUISE RUMSEY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIM LOUISE STRAMA D.C.

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 12/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 N 4TH ST
TOMAHAWK WI
54487-1352
US

IV. Provider business mailing address

601 S 32ND AVE
WAUSAU WI
54401-3958
US

V. Phone/Fax

Practice location:
  • Phone: 715-453-2515
  • Fax:
Mailing address:
  • Phone: 715-848-2526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1626-012
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: