Fire of Life Chiropractic Pllc

NPI #1235311721 in Lakeway, Texas

Provider Information

NPI Number: 1235311721
Entity Type: Organization
Organization Name: Fire of Life Chiropractic Pllc
Primary Specialty: Chiropractor
Enumeration Date: Nov 27, 2007
Last Updated: Jul 31, 2008

Practice Location

Address: 1200 LAKEWAY DR
Address 2: 17B
City: Lakeway
State: Texas
ZIP Code: 78734-4400
Phone: (512) 608-9121

Authorized Official

Name: MRS. KURT VANESSA EDEKER
Title: OFFICE MANAGER
Phone: (512) 608-9121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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