DR. BREANNA YOUNG TIVY-DEBAUCHE D.C. NPI 1306174289

NPI Information

NPI: 1306174289
Provider Name: DR. BREANNA YOUNG TIVY-DEBAUCHE, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Organization: THRIVE CHIROPRACTIC PLLC Address:
14525 HIGHWAY 7 STE 115
MINNETONKA, MN
ZIP 55345
Phone: (952) 746-5612
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DR. Breanna Young Tivy-debauche, D.C. is a chiropractor in Minnetonka, MN with 16 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Breanna Young Tivy-debauche, D.C. NPI is 1306174289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduation Year:2008

The provider's business location address is:

14525 HIGHWAY 7 STE 115
MINNETONKA, MN
ZIP 55345-738
Phone: (952) 746-5612

The enumeration date for this NPI number is 12/3/2009 and was last updated on 1/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		5299	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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