Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blossom Chiropractic and Natural Medicine

Organization Nutrition Chiropractor · NPI 1902341548

Blossom Chiropractic and Natural Medicine provides Nutrition Chiropractor services 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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