Organization
ADAPT SPINE & SPORT
Active
Other names
ADAPT Spine & Sport
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN STIVISON DC (CHIROPRACTOR)
(360) 907-9841
Entity
Organization
Contact information
Practice address
2145 N MAIN ST, COEUR D ALENE, ID 83814-5768
(208) 298-9169
Mailing address
2145 N MAIN ST, COEUR D ALENE, ID 83814-5768
(208) 298-9169
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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