Dr. Austin Joshua Stivison, DC
Chiropractor, Rehabilitation in Coeur D Alene, ID. Individual provider (NPI-1).
NPI number1982246336
StatusActive
Last updated in NPPESJun 14, 2025
Details
- NPI
- 1982246336
- Entity type
- Individual (NPI-1)
- Name
- Dr. Austin Joshua Stivison
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2019
- Certification date
- Jun 14, 2025
- Last updated
- Jun 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | CHIA-2111 | ID | Yes |
| 111NR0400X | Chiropractor, Rehabilitation | CH61004790 | WA |
Other names
- Austin Joshua Stivison (Professional Name)
Practice location
2145 N Main StCoeur D Alene, ID 83814-5768
Phone 208-298-9169
Mailing address
2145 N Main StCoeur D Alene, ID 83814-5768
Phone 208-298-9169
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