Provider Demographics
NPI:1518666395
Name:CHIRO & STRETCH, LLC
Entity Type:Organization
Organization Name:CHIRO & STRETCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOTTS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-977-5353
Mailing Address - Street 1:19451 S TAMIAMI TRL
Mailing Address - Street 2:STE 12 # 1106
Mailing Address - City:FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:866-397-3478
Practice Address - Street 1:19970 S TAMIAMI TRAIL #112
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928
Practice Address - Country:US
Practice Address - Phone:239-977-5353
Practice Address - Fax:866-397-3478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty