Provider Demographics
NPI:1972280881
Name:ROWLAND, ALIVIA (DC)
Entity Type:Individual
Prefix:
First Name:ALIVIA
Middle Name:
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 E CHEYENNE DR APT 1077
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-1773
Mailing Address - Country:US
Mailing Address - Phone:260-249-9535
Mailing Address - Fax:
Practice Address - Street 1:1468 N LITCHFIELD RD STE M6
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-1374
Practice Address - Country:US
Practice Address - Phone:623-777-3861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301401395111N00000X
AZ9301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor