Provider Demographics
NPI:1891485793
Name:UPLIFT CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:UPLIFT CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-210-0198
Mailing Address - Street 1:1945 PAULINE BLVD STE 15A
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-5047
Mailing Address - Country:US
Mailing Address - Phone:734-210-0198
Mailing Address - Fax:833-880-2317
Practice Address - Street 1:1945 PAULINE BLVD STE 15A
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-5047
Practice Address - Country:US
Practice Address - Phone:734-210-0198
Practice Address - Fax:833-880-2317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-12
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty