Life Chiropractic Clinic LLC

NPI #1629445564 in Nixa, Missouri

Provider Information

NPI Number
1629445564
Entity Type
Organization
Organization Name
Life Chiropractic Clinic LLC
Primary Specialty
Chiropractor
Enumeration Date
Aug 26, 2015
Last Updated
Sep 24, 2015

Practice Location

Address
611 W MOUNT VERNON ST STE C
City
Nixa
ZIP Code
65714-9601
Phone
(417) 724-2225

Authorized Official

Name
JUSTIN PANTLEO, D.C.
Title
OWNER
Phone
(417) 724-2225

Specialties & Taxonomy Codes

Specialty
Chiropractor

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