Provider Demographics
NPI:1568613818
Name:THRIVE CHIROPRACTIC STUDIO, LLC
Entity Type:Organization
Organization Name:THRIVE CHIROPRACTIC STUDIO, LLC
Other - Org Name:CAFE OF LIFE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:SCHOELLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-984-7483
Mailing Address - Street 1:7487 E 29TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2704
Mailing Address - Country:US
Mailing Address - Phone:303-984-7483
Mailing Address - Fax:
Practice Address - Street 1:7487 E 29TH PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2704
Practice Address - Country:US
Practice Address - Phone:303-984-7483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty