Organization Active NPI

Willis Wellness LLC

Doing business as Live Well Chiropractic & Lifestyle

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1770875411
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4799 Issued in KY
Legal business name
WILLIS WELLNESS LLC
Doing business as
Live Well Chiropractic & Lifestyle
Practice address
3730 Frankfort Ave
#203
Louisville, KY 40207-2582
Phone
(502) 409-9300
NPI assigned
May 13, 2011
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Richard Troy Willis, DC
Title
Owner
Phone
(502) 836-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4799 KY Primary

Addresses

Primary practice location

3730 Frankfort Ave
#203
Louisville, KY 40207-2582

Mailing address

219 Norbourne Blvd
Louisville, KY 40207-3922
Phone (502) 836-0303

Other names 1

  • Live Well Chiropractic & Lifestyle Doing business as

National Provider Directory

National Provider Directory

Locations

3730 Frankfort Ave
Ste 203
Louisville, KY 40207
Phone (502) 409-9300

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1770875411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 NORBOURNE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073922",
            "telephone_number": "502-836-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 FRANKFORT AVE",
            "address_2": "#203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072582",
            "telephone_number": "502-409-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-836-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well Chiropractic & Lifestyle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.