Provider Demographics
NPI:1538633078
Name:STRIVE CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:STRIVE CHIROPRACTIC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLEE
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-461-5777
Mailing Address - Street 1:19555 W BLUEMOUND RD STE 6
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-5934
Mailing Address - Country:US
Mailing Address - Phone:262-649-7876
Mailing Address - Fax:262-649-7876
Practice Address - Street 1:19555 W BLUEMOUND RD STE 6
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-5934
Practice Address - Country:US
Practice Address - Phone:262-649-7876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center