# LEVICK CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chiropractic Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457551152
- **Authorized official:** DR. JACQUELYN MICHELE RUSSELL D.C. (PRESIDENT)
- **Authorized official phone:** (716) 298-0368

## Contact information

- **Practice address:** 10158 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-2793
- **Practice address phone:** (716) 298-0368
- **Practice address fax:** (716) 298-0369
- **Mailing address:** 10158 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-2793
- **Mailing address phone:** (716) 298-0368
- **Mailing address fax:** (716) 298-0369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009724 | NY | Yes |

## Other

- **Enumeration date:** 07/20/2007
- **Last updated:** 07/20/2007