Live Well Center

NPI #1477925998 in Brainerd, Minnesota

Provider Information

NPI Number: 1477925998
Entity Type: Organization
Organization Name: Live Well Center
Subpart: Yes (part of a larger organization)
Parent Organization: LIVE WELL CENTER
Primary Specialty: Physical Therapist
Enumeration Date: Oct 23, 2015
Last Updated: Oct 23, 2015

Practice Location

Address: 315 E RIVER RD
City: Brainerd
State: Minnesota
ZIP Code: 56401-3503
Phone: (218) 454-5483

Authorized Official

Name: JAMES DAVIS
Title: OWNER
Phone: (218) 330-9830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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