Provider Type Icon

CELEBRATE LIFE WELLNESS CENTER LLC NPI 1942407333


NPI Information

NPI: 1942407333
Provider Name: CELEBRATE LIFE WELLNESS CENTER, LLC

Former Legal Business Name: BRESHEARS CHIROPRACTIC LIFE CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7750 W CRESTWOOD DRIVE #1
BOISE, ID
ZIP 83704
Phone: (208) 376-5433
Get Directions

CELEBRATE LIFE WELLNESS CENTER, LLC is a chiropractor in Boise, ID. 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. CELEBRATE LIFE WELLNESS CENTER, LLC NPI is 1942407333. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Breshears Chiropractic Life Center.

The provider's business location address is:

7750 W CRESTWOOD DRIVE #1
BOISE, ID
ZIP 83704
Phone: (208) 376-5433
Fax: (208) 376-5636

The provider's authorized official is Rebecca A Breshears .
The authorized official title is Owner and has the following contact phone number (208) 866-1490.

The enumeration date for this NPI number is 6/28/2007 and was last updated on 4/27/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCHIA428IDAHOYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T44468MEDICARE UPINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.