Chirolife Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROLIFE WELLNESS

Practice address

310 Third St Ste B
Port St Joe, FL 32456-1834

Phone

(850) 673-0604

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Kelley Hensley, DC

Title

Owner

Phone

(479) 721-5824

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1548045727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SEA GROVE WAY",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324564831",
            "telephone_number": "479-721-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 THIRD ST STE B",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561834",
            "telephone_number": "850-673-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROLIFE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-721-5824",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Port St Joe, FL
• Providers in Port St Joe, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.