Provider Demographics
NPI:1699095711
Name:LIVE RIGHT LLC
Entity type:Organization
Organization Name:LIVE RIGHT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:WINSLOW
Authorized Official - Last Name:PISARO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-954-9444
Mailing Address - Street 1:3520 E INDIAN SCHOOL RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5156
Mailing Address - Country:US
Mailing Address - Phone:602-954-9444
Mailing Address - Fax:602-954-1248
Practice Address - Street 1:3520 E INDIAN SCHOOL RD
Practice Address - Street 2:SUITE C
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5156
Practice Address - Country:US
Practice Address - Phone:602-954-9444
Practice Address - Fax:602-954-1248
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCADIA HEALTH AND WELLNESS CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7820111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty