Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blossom Chiropractic and Natural Medicine

Organization Nutrition Chiropractor · NPI 1902341548

Blossom Chiropractic and Natural Medicine is a Nutrition Chiropractor in Kenosha, Wisconsin. Licensed in Illinois and Wisconsin. Registered with an NPI since 2017.

Licensed in
IL, WI
In the registry since
2017
Specialties on file
6

Practice location Address checks out

3601 30th Ave Ste 101
Kenosha, WI 53144-1695
Phone: (262) 220-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Chiropractor (primary) Taxonomy 111NN1001X · Licence 5085 (WI)
Nutrition Chiropractor Taxonomy 111NN1001X · Licence 038010095 (IL)
Pediatric Chiropractor Taxonomy 111NP0017X · Licence 5085 (WI)
Pediatric Chiropractor Taxonomy 111NP0017X · Licence 038010095 (IL)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence 5085 (WI)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence 038010095 (IL)

Record details

NPI number1902341548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olivia Cashmore — President/Owner · (262) 220-8500
NPI enumeratedJanuary 5, 2017
Last updated in NPPESJanuary 5, 2017
Mailing address6106 115th Ave, Kenosha, WI 53142-7274

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