IMAGINE CHIROPRACTIC AND WELLNESS CENTER, INC.
NPI 1306102066
Chiropractor in Green Bay, WI

Active since April 06, 2012
445 CARDINAL LN STE 110, GREEN BAY, WI 54313(920) 327-3752 Get Directions Write a Review

NPPES record last updated: April 6, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Imagine Chiropractic And Wellness Center, Inc. NPPES

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

IMAGINE CHIROPRACTIC AND WELLNESS CENTER, INC. (NPI 1306102066) is a healthcare organization registered as a chiropractor in Green Bay, Wisconsin and active in the NPI registry since April 2012. The organization lists Angela Renee Thiele, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1306102066
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameIMAGINE CHIROPRACTIC AND WELLNESS CENTER, INC.
Location Address445 CARDINAL LN STE 110Green Bay, WI 54313-9577
Mailing Address445 Cardinal Ln Ste 110Green Bay, WI 54313-9577 · (920) 327-3752
Organization SubpartNo
Authorized OfficialAngela Renee ThieleOwner/chiropractor · (920) 327-3752
Enumeration DateApril 6, 2012
✔ NPI 1306102066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4371-012
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.
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 5028 (WI)
445 CARDINAL LN STE 110, Green Bay, WI 54313

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Orthotist
445 CARDINAL LN STE 110
GREEN BAY, WI 54313
Prosthetic/Orthotic Supplier
445 CARDINAL LN STE 110
GREEN BAY, WI 54313

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 Imagine Chiropractic And Wellness Center, Inc.'s NPI number?

The NPI number for Imagine Chiropractic And Wellness Center, Inc. is 1306102066. It was assigned to this organization in the NPPES registry on April 6, 2012.

Where is Imagine Chiropractic And Wellness Center, Inc. located?

Imagine Chiropractic And Wellness Center, Inc. is located at 445 Cardinal Ln Ste 110, Green Bay, WI 54313. The listed phone number is (920) 327-3752.

What is Imagine Chiropractic And Wellness Center, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Imagine Chiropractic And Wellness Center, Inc. was last updated on April 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.