LIFE REFINED CHIROPRACTIC, LLC (NPI# 1629591979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629591979 |
Entity Type | Organization |
Organization Name | LIFE REFINED CHIROPRACTIC, LLC |
Other Organization Name | LIFE REFINED CHIROPRACTIC |
Practice Address |
14214 Valley Crest Ct Fishers IN 46040 |
Mailing Address |
14297 Bergen Blvd Ste 100 Noblesville IN 46060-3383 |
Practice Telephone | (701) 340-7234 |
Mailing Telephone | 3176748857 |
Enumeration Date | 2017-07-19 |
Last Update Date | 2018-07-16 |
Authorized Official Name | DR. STACI JEAN BLUME (PARTNER) |
Authorized Official Telephone | 3176748857 |
Is Organization Subpart | Y |
Parent Organization Name | LEGACY IMPACT LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 08002871A | IN | Chiropractic Providers |
Other Name | Type Code |
---|---|
Life Refined Chiropractic | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
14214 Valley Crest Ct, Fishers, IN 460404404 | (701) 340-7234 |
Street Address |
14214 VALLEY CREST CT |
City | FISHERS |
State | IN |
Zip Code | 46040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154613131 | George Steven Kalesperis | Neuromusculoskeletal Medicine & OMM | 8457 W 1000 S, Fortville, IN 46040 | 2011-05-09 |
1730306341 | Saranya Nagireddy | Physical Therapist | 15393 Ackerley Dr, Fortville, IN 46040 | 2007-04-18 |
1518094390 | Lori K King | Speech-Language Pathologist | 11010 Harbor Bay Drive, Fortville, IN 46040 | 2007-02-27 |
1154405645 | Brendan Leroy | Family Medicine | 545 Vitality Dr Ste 100a, Fortville, IN 46040 | 2006-10-24 |
1720566318 | Howard Health, LLC | Behavioral Analyst | 9276 W 1025 S, Fortville, IN 46040 | 2018-08-06 |
1285851899 | Hari Shanthan Nagi Reddy | Physical Therapist | 15393 Ackerley Dr, Fortville, IN 46040 | 2007-04-18 |
1992815054 | John Day Kingsbury | Dentist | 14 S Main St, Fortville, IN 46040 | 2006-08-30 |
1710024229 | Sajid Hameed | Physical Therapist | 800 Center St, Fortville, IN 46040-1007 | 2007-01-31 |
1356795983 | Amber Hensley | Occupational Therapist | 206 E Carolina St, Fortville, IN 46040-1096 | 2016-04-20 |
1942452206 | Dawn Michelle Humphrey | Registered Nurse | 416 Emerson Dr, Fortville, IN 46040-1131 | 2008-10-17 |
Find all providers in zip 46040 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699381525 | Excellence Chiropractic & Wellness | Chiropractor | 10298 E 96th St, Fishers, IN 46037-9497 | 2020-09-16 |
1235754797 | Michael Mackenzie Gearheart | Chiropractor | 13991 Avalon East Dr, Fishers, IN 46037-6211 | 2020-06-10 |
1982224473 | Chiro One Wellness Center of Fishers LLC | Chiropractor | 11670 Commercial Dr Ste 300, Fishers, IN 46038-2925 | 2020-04-24 |
1043865710 | Taylor Ann Helms | Chiropractor | 11580 Overlook Dr Ste 200, Fishers, IN 46037-4221 | 2019-08-08 |
1932636263 | Ian Steele Boone | Chiropractor | 11876 Olio Rd Ste 500, Fishers, IN 46037-9772 | 2017-05-17 |
1942656608 | Scott Minton | Chiropractor | 11852 Allisonville Rd, Fishers, IN 46038-2312 | 2016-05-11 |
1942621743 | Kyle Peacock | Chiropractor | 11773 Commercial Dr, Fishers, IN 46038-2904 | 2013-12-20 |
1164853727 | Kathleen Wiemold | Chiropractor | 10126 Brooks School Rd, Fishers, IN 46037-9575 | 2013-12-09 |
1740525658 | Bell Chiropractic Center P.C. | Chiropractor | 10412 Allisonville Rd., Suite 203, Fishers, IN 46038-2030 | 2012-12-04 |
1538449483 | Paul Phipps | Chiropractor | 10896 Hamilton Pass, Fishers, IN 46037-9494 | 2011-08-24 |
Find all providers in FISHERS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.