Lifetime Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008386 Issued in GA

Legal business name

LIFETIME WELLNESS LLC

Practice address

3901 Roswell Rd
Suite 208
Marietta, GA 30062-8809

Phone

(770) 509-9717

Fax

(770) 509-8796

NPI assigned

Aug 17, 2009

Last updated

Aug 17, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amanda S Friedhoff, B.S., D.C.

Title

Chiropractor, Operator

Phone

(770) 509-9717

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1154553725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 ROSWELL RD",
            "address_2": "SUITE 208",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628809",
            "telephone_number": "770-509-9717",
            "fax_number": "770-509-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ROSWELL RD",
            "address_2": "SUITE 208",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628809",
            "telephone_number": "770-509-9717",
            "fax_number": "770-509-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "FRIEDHOFF",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR, OPERATOR",
        "authorized_official_telephone_number": "770-509-9717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life University
• Life University, Inc (Life Chiropractic Centers- Roswell)
• Life University, Inc (Center for Health and Optimum Performance - C-HOP)
• Chae Life, MD
• Lifequest East Marietta LLC (Energy Medical Group)
• Mark R. Light, DPM
• Katrina Nicole Likes, FNP-C
• Laura Thurman Lilly, OT
• Nicholas Joseph Lima
• Donna Marie Liming, WHNP-BC

• Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.