Life Design Chiropractic, PLLC
Organization Active NPI Chiropractor · Ennis, MT
NPI 1447848288 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1447848288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- LIFE DESIGN CHIROPRACTIC, PLLC
- Practice address
- 222 E Main St # 1-C
Ennis, MT 59729-9229 - Phone
- (406) 946-1813
- NPI assigned
- Jan 7, 2021
- Organization subpart
- No
Authorized official
- Name
- Jennifer Vine, DC
- Title
- Operating Manager
- Phone
- (406) 946-1813
Practitioners 1
-
Jennifer Marie Vine, D.C.
National Provider Directory
Locations
222 E Main St
Unit 1C
Ennis, MT 59729
Phone (406) 946-1813
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
222 E Main St # 1-C
Ennis, MT 59729-9229
Mailing address
222 E Main St # 1-C
Ennis, MT 59729-9229
Phone (406) 946-1813
Other names
- Life Design Chiropractic
Other providers in Ennis, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.