Longevity Chiropractic, LLC
NPI #1174875298 in Pueblo, Colorado
Provider Information
- NPI Number
- 1174875298
- Entity Type
- Organization
- Organization Name
- Longevity Chiropractic, LLC
- Primary Specialty
- Chiropractor - Rehabilitation
- Enumeration Date
- Oct 12, 2012
- Last Updated
- Oct 4, 2019
Practice Location
Authorized Official
- Name
- DR. DEREK WADE STICKLER, D.C.
- Title
- OWNER/MANAGER
- Phone
- (254) 394-0836
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Neurology — Neurology |
| Chiropractor - Pediatric Chiropractor — Pediatric Chiropractor |
| Chiropractor - Sports Physician — Sports Physician |
| Chiropractor - Rehabilitation — Rehabilitation |
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