Healthcare Provider Details

I. General information

NPI: 1770412363
Provider Name (Legal Business Name): THRIVE SPINE & BODY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16944 W BELL RD STE 602
SURPRISE AZ
85374-8950
US

IV. Provider business mailing address

16240 N 154TH DR
SURPRISE AZ
85374-7416
US

V. Phone/Fax

Practice location:
  • Phone: 623-223-2154
  • Fax:
Mailing address:
  • Phone: 623-223-2154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: ANGEL KAISER
Title or Position: MANAGING MEMBER
Credential:
Phone: 623-223-2154