| Thrive Chiropractic And Wellness Llc | |
|
6705 38th Ave N Ste B St Petersburg FL 33710 | |
| (727) 381-3456 | |
| Not Available |
| Full Name | Thrive Chiropractic And Wellness Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 6705 38th Ave N Ste B, St Petersburg, Florida |
| Authorized Official Name and Position | Kelley S Mulhern (CHIROPRACTOR) |
| Authorized Official Contact | 7273813456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Chiropractic And Wellness Llc 6705 38th Ave N Suite B St Petersburg FL 33710-1570 Ph: (727) 381-3456 | Thrive Chiropractic And Wellness Llc 6705 38th Ave N Ste B St Petersburg FL 33710 Ph: (727) 381-3456 |
| NPI Number | 1174077515 |
|---|---|
| Provider Enumeration Date | 08/14/2016 |
| Last Update Date | 08/31/2020 |
| Medicare PECOS PAC ID | 2163764135 |
|---|---|
| Medicare Enrollment ID | O20190424000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174077515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH11254 (Florida) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Kelley S Mulhern |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770573636 PECOS PAC ID: 0143350355 Enrollment ID: I20190424000626 |
| Provider Name | Stephanie Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649757394 PECOS PAC ID: 1759627268 Enrollment ID: I20190828002657 |
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