Healthcare Provider Details

I. General information

NPI: 1104743681
Provider Name (Legal Business Name): ALIVE & SWELL CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 W COLEMAN BLVD STE G2
MOUNT PLEASANT SC
29464-3449
US

IV. Provider business mailing address

320 W COLEMAN BLVD STE G2
MOUNT PLEASANT SC
29464-3449
US

V. Phone/Fax

Practice location:
  • Phone: 619-772-0962
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TYLER HAWKE
Title or Position: OWNER/CHIROPRACTOR
Credential: D.C.
Phone: 619-772-0962