Provider Demographics
NPI:1881154714
Name:A1 MANAGEMENT GROUP
Entity type:Organization
Organization Name:A1 MANAGEMENT GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KEESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIVA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-938-7542
Mailing Address - Street 1:3001 W WARM SPRINGS RD APT 1728
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4581
Mailing Address - Country:US
Mailing Address - Phone:678-938-7542
Mailing Address - Fax:
Practice Address - Street 1:3001 W WARM SPRINGS RD APT 1728
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-4581
Practice Address - Country:US
Practice Address - Phone:678-938-7542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty