| Neuro-roots Llc | |
|
1001 S 35th St Manitowoc WI 54220-5413 | |
| (920) 690-3955 | |
| Not Available |
| Full Name | Neuro-roots Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1001 S 35th St, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Jennifer Kalista (OWNER) |
| Authorized Official Contact | 9202420520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro-roots Llc 1338 Westwood Ln Manitowoc WI 54220-1602 Ph: (920) 690-3955 | Neuro-roots Llc 1001 S 35th St Manitowoc WI 54220-5413 Ph: (920) 690-3955 |
| NPI Number | 1225977911 |
|---|---|
| Provider Enumeration Date | 03/26/2026 |
| Last Update Date | 03/26/2026 |
| Certification Date | 03/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225977911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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