Organization · NPI-2

Fully Alive Chiropractic LLC

Chiropractor · Springboro, OH

NPI number1235595075
StatusActive
Last updated in NPPESJun 1, 2026

Details

NPI
1235595075
Entity type
Organization (NPI-2)
Legal business name
Fully Alive Chiropractic LLC
Organization subpart
No
Enumeration date
Jan 9, 2016
Certification date
Jun 1, 2026
Last updated
Jun 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor4594OHYes

Practice location

90 Commercial Way
Springboro, OH 45066-3080

Phone 937-748-9708 · Fax 937-806-4112

Mailing address

90 Commercial Way
Springboro, OH 45066-3080

Phone 937-748-9708 · Fax 937-806-4112

Authorized official

Nathan Siebenaller
Owner
9377489708

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