BOLD LIFE CHIROPRACTIC LLC NPI 1518390293

NPI Information

BOLD LIFE CHIROPRACTIC, LLC is a chiropractor in Prattville, AL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BOLD LIFE CHIROPRACTIC, LLC NPI is 1518390293. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Complete Life Chiropractic.

The provider's business location address is:

427 E MAIN ST
PRATTVILLE, AL
ZIP 36067-409
Phone: (334) 356-5571
Fax: (334) 730-0971

The provider's authorized official is Joshua P White .
The authorized official title is President and has the following contact phone number (334) 356-5571.

The enumeration date for this NPI number is 8/16/2013 and was last updated on 2/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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