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SHELL LAKE CUMBERLAND CHIROPRACTIC CLINICS LLC
NPI 1104014059
Chiropractor in Shell Lake, WI

Active since October 04, 2007
17 5TH AVE, SHELL LAKE, WI 54871(715) 468-2275 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shell Lake Cumberland Chiropractic Clinics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELL LAKE CUMBERLAND CHIROPRACTIC CLINICS LLC (NPI 1104014059), doing business as Jimmy A Reidt, is a healthcare organization registered as a chiropractor in Shell Lake, Wisconsin and active in the NPI registry since October 2007. The organization lists Brenda Reidt, Manager, as its authorized official.

NPPES Registry Identity

NPI1104014059
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHELL LAKE CUMBERLAND CHIROPRACTIC CLINICS LLC
Location Address17 5TH AVEShell Lake, WI 54871
Mailing AddressPo Box 637Shell Lake, WI 54871 · (715) 468-2275 · Fax (715) 468-4417
Phone(715) 468-2275
Organization SubpartNo
Authorized OfficialBrenda ReidtManager · (715) 468-2275
Enumeration DateOctober 4, 2007
Last NPPES UpdateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1104014059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 3069
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
17 5TH AVE, Shell Lake, WI 54871
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Other Names 1

Former Legal Business NameJimmy A Reidt

Other Identifiers 1

Other70330Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELL LAKE CUMBERLAND CHIROPRACTIC CLINICS LLC
Chiropractor
17 5TH AVE
SHELL LAKE, WI 54871
Washburn County (715) 468-2275
DR. JIMMY A REIDT DC
Chiropractor
17 5TH AVE
SHELL LAKE, WI 54871
Washburn County (715) 468-2275
DR. BRENDA L JOYCE-REIDT DC
Chiropractor
17 5TH AVE
SHELL LAKE, WI 54871
Washburn County (715) 468-2275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shell Lake Cumberland Chiropractic Clinics LLC's NPI number?

The NPI number for Shell Lake Cumberland Chiropractic Clinics LLC is 1104014059. It was assigned to this organization in the NPPES registry on October 4, 2007. The provider was formerly known as Jimmy A Reidt.

Where is Shell Lake Cumberland Chiropractic Clinics LLC located?

Shell Lake Cumberland Chiropractic Clinics LLC is located at 17 5th Ave, Shell Lake, WI 54871. The listed phone number is (715) 468-2275.

What is Shell Lake Cumberland Chiropractic Clinics LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Shell Lake Cumberland Chiropractic Clinics LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Shell Lake Cumberland Chiropractic Clinics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shell Lake Cumberland Chiropractic Clinics LLC was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.