Lietz Chiropractic and Applied Kinesiology LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

L2083320 Issued in MI

Legal business name

LIETZ CHIROPRACTIC AND APPLIED KINESIOLOGY LLC

Practice address

3550 Fairlanes Ave SW
Suite B
Grandville, MI 49418-1572

Phone

(616) 530-3333

Fax

(616) 608-3803

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Charles Michael Lietz, D.C.

Title

Sole Member

Phone

(616) 530-3333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1700124237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 FAIRLANES AVE SW",
            "address_2": "SUITE B",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181572",
            "telephone_number": "616-530-3333",
            "fax_number": "616-608-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 FAIRLANES AVE SW",
            "address_2": "SUITE B",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181572",
            "telephone_number": "616-530-3333",
            "fax_number": "616-608-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIETZ CHIROPRACTIC AND APPLIED KINESIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "LIETZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "616-530-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "L2083320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Lein, LPC
• Ashley Lenar
• Paige Alexis Lenters, BT
• Maylee McKay Levandoski
• Brian Joseph Licari, DDS
• Charles Michael Lietz, D.C.
• Scott Anthony Lietz
• Kerri Lindeman
• Jeffrey Allen Lindhout, DDS MS
• Heather Nichole Little, B.S.

• Chiropractor in Grandville, MI
• Providers in Grandville, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.