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Organization
THRIVE CHIROPRACTIC LLC
Active
Organization
THRIVE CHIROPRACTIC LLC
Active
Other names
Thrive Chiropractic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL ROBERT COOPER DC (OWNER/MEMBER)
(608) 692-7958
Entity
Organization
Contact information
Practice address
637 E WASHINGTON AVE, MADISON, WI 53703-2909
(608) 692-7958
Mailing address
618A PHEASANT CT, LODI, WI 53555-1351
(608) 692-7958
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3161-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3161-012
WISCONSIN LICENSE
WI
Enumeration date
05/30/2018
Last updated
06/16/2018
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