Organization
CCLB THOR LLC
Active
Other names
Cultivate Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN THOR (OWNER)
(402) 649-4462
Entity
Organization
Contact information
Practice address
131 S MAIN ST, WEST POINT, NE 68788-1832
(402) 649-4462
Mailing address
123 PAR ACRES RD, BEEMER, NE 68716-4073
(402) 649-4462
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386081818
—
NE
Enumeration date
02/04/2022
Last updated
02/23/2022
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