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

Kassy Jo Fuller, DC

Individual provider Chiropractor · NPI 1316410368

Kassy Jo Fuller, DC is a Chiropractic in Antigo, Wisconsin. Qualified in 2018, 8 years ago. Practices with Cornerstone Chiropractic of Antigo LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Washington and Wisconsin.

Years since qualifying
8
Licensed in
WA, WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2006 Progress Blvd
Antigo, WI 54409-2475
Phone: (715) 623-5481
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5664-12 (WI)
Chiropractor Taxonomy 111N00000X · Licence 60892858 (WA)

Record details

NPI number1316410368
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 2, 2019
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024
Mailing address2006 Progress Blvd, Antigo, WI 54409-2475

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cornerstone Chiropractic Of Antigo Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Antigo