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LEGACY SPINE AND SPORT LLC
NPI 1669240073
Chiropractor in Reedsville, WI

Active since December 14, 2023
106 MILL ST, REEDSVILLE, WI 54230(920) 901-3382 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2024, Dec 14, 2023 (2 updates tracked since 2023).

About Legacy Spine And Sport Llc NPPES

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

LEGACY SPINE AND SPORT LLC (NPI 1669240073) is a healthcare organization registered as a chiropractor in Reedsville, Wisconsin and active in the NPI registry since December 2023. The organization lists Colby Kasten, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1669240073
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLEGACY SPINE AND SPORT LLC
Location Address106 MILL STReedsville, WI 54230-1700
Mailing Address106 Mill StReedsville, WI 54230-1700 · (920) 588-7171
Phone(920) 901-3382
Organization SubpartNo
Authorized OfficialColby KastenChiropractor · (920) 588-7171
Enumeration DateDecember 14, 2023
Last NPPES UpdateApril 19, 20242 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
✔ NPI 1669240073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
106 MILL ST, Reedsville, WI 54230
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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

Other Providers at the Same Location NPPES 4

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

DR. COLBY KASTEN DC
Chiropractor
106 MILL ST
REEDSVILLE, WI 54230
Manitowoc County (920) 901-3382
AMY L LEE NP
Nurse Practitioner
106 MILL ST
REEDSVILLE, WI 54230
Manitowoc County (920) 754-4337
JENNIFER A HOENIG
Nurse Practitioner
106 MILL ST
REEDSVILLE, WI 54230
Manitowoc County (920) 754-4337
AURORA MEDICAL GROUP, INC.
Durable Medical Equipment & Medical Supplies
106 MILL ST
REEDSVILLE, WI 54230
Manitowoc County (920) 754-4337

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 Legacy Spine And Sport LLC's NPI number?

The NPI number for Legacy Spine And Sport LLC is 1669240073. It was assigned to this organization in the NPPES registry on December 14, 2023.

Where is Legacy Spine And Sport LLC located?

Legacy Spine And Sport LLC is located at 106 Mill St, Reedsville, WI 54230. The listed phone number is (920) 901-3382.

What is Legacy Spine And Sport LLC'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 Legacy Spine And Sport LLC was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.