# COME ALIVE CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023457066
- **Authorized official:** DR. JAMES GREGORY WASHAM JR. DC (PART OWNER)
- **Authorized official phone:** (513) 258-1227

## Contact information

- **Practice address:** 358 BEXLEY CT, MASON, OH 45040-2215
- **Practice address phone:** (513) 258-1227
- **Mailing address:** 358 BEXLEY CT, MASON, OH 45040-2215
- **Mailing address phone:** (513) 258-1227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1489 | OH | Yes |

## Other

- **Enumeration date:** 06/24/2013
- **Last updated:** 06/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0075899 | — | OH |