Longevity Health and Wellness

NPI #1770204117 in Peoria, Illinois

Provider Information

NPI Number: 1770204117
Entity Type: Organization
Organization Name: Longevity Health and Wellness
Primary Specialty: Chiropractor
Enumeration Date: Sep 5, 2022
Last Updated: Oct 12, 2022

Practice Location

Address: 3008 W WILLOW KNOLLS DR
City: Peoria
State: Illinois
ZIP Code: 61614-1083
Phone: (309) 678-0963

Authorized Official

Name: DR. BRANDIE LONG, D.C.
Title: OWNER/CHIROPRACTOR
Phone: (309) 678-0963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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