Provider Demographics
NPI:1003385402
Name:ELITE HEALTH AND PERFORMANCE, PLLC
Entity Type:Organization
Organization Name:ELITE HEALTH AND PERFORMANCE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:STRACHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MS, ICCSP
Authorized Official - Phone:515-249-7507
Mailing Address - Street 1:116 BRICK ST SE
Mailing Address - Street 2:
Mailing Address - City:BONDURANT
Mailing Address - State:IA
Mailing Address - Zip Code:50035-2125
Mailing Address - Country:US
Mailing Address - Phone:515-249-7507
Mailing Address - Fax:
Practice Address - Street 1:116 BRICK ST SE
Practice Address - Street 2:
Practice Address - City:BONDURANT
Practice Address - State:IA
Practice Address - Zip Code:50035-2125
Practice Address - Country:US
Practice Address - Phone:515-249-7507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1790221455OtherDR. HANNAH STRACHAN
IA1811433477OtherDR. ANDREW STRACHAN