MEDICARE: STRIVE CHIROPRACTIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1538633078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRIVE CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	19555 W BLUEMOUND RD STE 14
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-5935
Country	:	US
Telephone Number	:	262-649-7876
Fax Number	:	262-649-7876

Provider Business Practice Location Address
First Line	:	19555 W BLUEMOUND RD STE 14
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-5935
Country	:	US
Telephone Number	:	262-649-7876
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR/OWNER
Name	:	DR. KYLEE R STEVENSON
Credential	:	DC
Telephone Number	:	360-461-5777

Provider Enumeration Date	:	01/17/2019
Last Update Date	:	03/15/2026

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