Organization
FULLY ALIVE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN SIEBENALLER (OWNER)
(937) 748-9708
Entity
Organization
Contact information
Practice address
335 N MAIN ST, STE 1, SPRINGBORO, OH 45066-8006
(937) 748-9708
Mailing address
335 N MAIN ST, STE 1, SPRINGBORO, OH 45066-8006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4594
OH
Other
Enumeration date
01/09/2016
Last updated
01/27/2016
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