Provider Demographics
NPI:1962255596
Name:STRIVE PERFORMANCE AND MOBILITY
Entity type:Organization
Organization Name:STRIVE PERFORMANCE AND MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STAUFFER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:614-735-2712
Mailing Address - Street 1:2015 WOODCLIFF ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6013
Mailing Address - Country:US
Mailing Address - Phone:161-473-5271
Mailing Address - Fax:
Practice Address - Street 1:2408 ASHLEY RIVER RD UNIT G
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-4619
Practice Address - Country:US
Practice Address - Phone:614-735-2712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy