Fit Life Chiropractic and Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5888 Issued in MN

Legal business name

FIT LIFE CHIROPRACTIC AND WELLNESS LLC

Practice address

976 Grand Ave
Saint Paul, MN 55105-3014

Phone

(906) 282-7119

NPI assigned

Aug 6, 2015

Organization subpart

No

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

Authorized official

Name

Matthew Michael Doda, D.C.

Title

Chiropractor

Phone

(906) 282-7119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1760868236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053014",
            "telephone_number": "906-282-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053014",
            "telephone_number": "906-282-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT LIFE CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "DODA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "906-282-7119",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet E Fisher, MA LP
• Kenneth C Fisher, CRNA
• Nancy A Fisher, DO
• Rashida Karriem Fisher, LPCC, LADC
• Robert David Fisher, M.D.
• Arleen F. Fitzgerald, MSW
• Melissa Jane Fitzgerald, OTR
• Garret Fitzsimmons, PA-C
• James Fitzsimons, M.D.
• Evan Joseph Flack, MA, LADC

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.