# CHIRO LIFE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609094770
- **Authorized official:** LINDA L GROVES CPC CPCH (BILLING/CREDENTIALING MANAGER)
- **Authorized official phone:** (440) 352-4321

## Contact information

- **Practice address:** 7257 CENTER ST, MENTOR, OH 44060-4907
- **Practice address phone:** (440) 205-9910
- **Practice address fax:** (440) 974-2400
- **Mailing address:** 7257 CENTER ST, MENTOR, OH 44060-4907
- **Mailing address phone:** (440) 205-9910
- **Mailing address fax:** (440) 974-2400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 01/27/2015