Provider Demographics
NPI:1831818111
Name:STRONGTREE LLC
Entity type:Organization
Organization Name:STRONGTREE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLINTON
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:WHITTLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-263-8139
Mailing Address - Street 1:121 STONE RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-5076
Mailing Address - Country:US
Mailing Address - Phone:618-263-8139
Mailing Address - Fax:
Practice Address - Street 1:7217 CLINTON HWY STE D
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-5221
Practice Address - Country:US
Practice Address - Phone:865-333-0999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STRONGTREE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty