Provider Demographics
NPI:1023672201
Name:THRIVE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:THRIVE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:DEBUHR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-415-3030
Mailing Address - Street 1:924 VIKING RD STE 121
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-9520
Mailing Address - Country:US
Mailing Address - Phone:319-415-3030
Mailing Address - Fax:
Practice Address - Street 1:924 VIKING RD STE 121
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-9520
Practice Address - Country:US
Practice Address - Phone:319-415-3030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-23
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty