Lifestyles Chiropractic in Fort Myers - Sports Physician
Lifestyles Chiropractic - NPI 1598820821
Lifestyles Chiropractic is a Sports Physician in Fort Myers, Florida. Lifestyles Chiropractic practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Lifestyles Chiropractic is 1598820821. The last update date is 2013-05-14.
Lifestyles Chiropractic's current location address is 11300 Lindbergh Blvd, Fort Myers, Florida. You can contact this provider via phone number 2393349355 and fax number 2393349358. The mailing address for Lifestyles Chiropractic is 11300 Lindbergh Blvd, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifestyles Chiropractic |
|---|---|
| Address | 11300 Lindbergh Blvd, Fort Myers, Florida |
| Phone Number | 2393349355 |
| Fax Number | 2393349358 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wickmann E Todd |
| Credentials | D.C. |
| Telephone Number | 2393349355 |
NPI Number Detail
| NPI Number | 1598820821 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2013-05-14 |
Provider Mailing Address Detail
| Address | 11300 Lindbergh Blvd |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339138827 |
| Phone Number | 2393349355 |
| Fax Number | 2393349358 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CH9155 |
|
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lifestyles Chiropractic by the Centers for Medicare & Medicaid Services?
The Lifestyles Chiropractic has been issued the NPI (National Provider Identifier) 1598820821 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Lifestyles Chiropractic is geographically located?
The Lifestyles Chiropractic is physically situated at the following location: 11300 Lindbergh Blvd, Fort Myers, FL, 339138827.
What is the Lifestyles Chiropractic's specialty and taxonomy code?
The Lifestyles Chiropractic's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598820821 to Lifestyles Chiropractic?
The Centers for Medicare & Medicaid Services originally issued the 1598820821 to Lifestyles Chiropractic on 2006-12-27.
When was the information pertaining to Lifestyles Chiropractic most recently updated or revised?
The details related to Lifestyles Chiropractic, including its address, specialty, and other relevant information, were last updated or revised on 2013-05-14.