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NPI Code Detail

MEDICARE: THRIVE CHIROPRACTIC PLLC

MEDICARE: THRIVE CHIROPRACTIC PLLC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1821719154
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIVE CHIROPRACTIC PLLC
Provider Business Mailing Address
First Line : 303 CASCADE CT
Second Line :
City : WHITEFISH
State : MT
Zip : 59937-8962
Country : US
Telephone Number : 406-471-7122
Fax Number :
Provider Business Practice Location Address
First Line : 734 9TH ST W STE 7
Second Line :
City : COLUMBIA FALLS
State : MT
Zip : 59912-3858
Country : US
Telephone Number : 406-471-7122
Fax Number :
Authorized Official
Title or Position : SOLE OWNER
Name : DR. KELTIE WARREN
Credential : DC
Telephone Number : 406-471-7122
Provider Enumeration Date : 09/06/2022
Last Update Date : 09/06/2022

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Directions to “THRIVE CHIROPRACTIC PLLC ” Practice Location

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