=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841141801
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE BODY SHOP CHIROPRACTIC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/05/2026
-----------------------------------------------------
Last Update Date | 02/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2113 COULEE RD
-----------------------------------------------------
City | HUDSON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54016-9180
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-202-4668
-----------------------------------------------------
Fax | 701-202-4668
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2113 COULEE RD
-----------------------------------------------------
City | HUDSON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54016-9180
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-202-4668
-----------------------------------------------------
Fax | 701-202-4668
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CURTIS JAMES ZACHMEIER
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 701-202-4668
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------