Health4Life Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4285-012 Issued in WI

Legal business name

HEALTH4LIFE CHIROPRACTIC, LLC

Practice address

2204 N Hillcrest Pkwy
Ste. 1
Altoona, WI 54720-2626

Phone

(715) 598-4954

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Timothy M Gunderson, D.C.

Title

Owner/Chiropractor

Phone

(715) 598-4954

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1699900837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 N HILLCREST PKWY",
            "address_2": "STE. 1",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202626",
            "telephone_number": "715-598-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 N HILLCREST PKWY",
            "address_2": "STE. 1",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202626",
            "telephone_number": "715-598-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH4LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "GUNDERSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "715-598-4954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4285-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi L Haakenson-Komro, RN
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• Kimberly Mae Helmus, DPT
• Taylor Jon Helmus, D.P.T.
• Youhung Her-Xiong, PHD,LICSW,LCSW,APSW
• Karen Jean Herbison
• Dawn Hermann, BCBA, CCC-SLP

• Chiropractor in Altoona, WI
• Providers in Altoona, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.