Provider Type Icon

LONGEVITY CHIROPRACTIC LLC NPI 1174875298


NPI Information

NPI: 1174875298
Provider Name: LONGEVITY CHIROPRACTIC, LLC
Classification: Chiropractor - 111NR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
2447 S PRAIRIE AVE
PUEBLO, CO
ZIP 81005
Phone: (254) 394-0836
Get Directions

LONGEVITY CHIROPRACTIC, LLC is a rehabilitation chiropractor in Pueblo, CO. The provider is rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. LONGEVITY CHIROPRACTIC, LLC NPI is 1174875298. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2447 S PRAIRIE AVE
PUEBLO, CO
ZIP 81005
Phone: (254) 394-0836

The provider's authorized official is Derek Wade Stickler .
The authorized official title is Owner/manager and has the following contact phone number (254) 394-0836.

The enumeration date for this NPI number is 10/12/2012 and was last updated on 10/4/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NN0400XChiropractorNeurology6888COLORADONo
2111NP0017XChiropractorPediatric Chiropractor6891COLORADONo
3111NS0005XChiropractorSports Physician6888COLORADONo
4111NR0400XChiropractorRehabilitation6888COLORADOYes

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: 4/28/2024

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.