Wellness & Longevity Center
NPI #1306941406 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1306941406
- Entity Type
- Organization
- Organization Name
- Wellness & Longevity Center
- Primary Specialty
- Chiropractor
- Enumeration Date
- Sep 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1530 FRONTAGE RD W
- Address 2
- VALLEY RIDGE MALL
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-2102
- Phone
- (651) 439-1013
Authorized Official
- Name
- DR. SANDRA LEA SPORE, DC
- Title
- CLINIC DIRECTOR
- Phone
- (651) 439-1013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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