Provider Demographics
NPI:1740823269
Name:APPLIED KINESIOLOGY CHIROPRACTIC OF CLEVELAND
Entity type:Organization
Organization Name:APPLIED KINESIOLOGY CHIROPRACTIC OF CLEVELAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:DEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-867-5102
Mailing Address - Street 1:35104 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4516
Mailing Address - Country:US
Mailing Address - Phone:440-867-5102
Mailing Address - Fax:866-659-8883
Practice Address - Street 1:35104 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4516
Practice Address - Country:US
Practice Address - Phone:440-867-5102
Practice Address - Fax:866-659-8883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty