Individual
DR. AUSTIN JOSHUA STIVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
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
111NR0400X
Rehabilitation Chiropractor
CH61004790
WA
111NR0400X
Rehabilitation Chiropractor
Primary
CHIA-2111
ID
Other
Enumeration date
10/16/2019
Last updated
06/14/2025
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