# LIVE WELL CHIROPRACTIC

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

## Provider details

- **NPI number:** 1942620570
- **Authorized official:** DR. JAMES DAVIS DC (OWNER)
- **Authorized official phone:** (121) 454-5483

## Contact information

- **Practice address:** 315 E RIVER RD, BRAINERD, MN 56401-3503
- **Practice address phone:** (218) 454-5483
- **Practice address fax:** (218) 454-5484
- **Mailing address:** 315 E RIVER RD, BRAINERD, MN 56401-3503
- **Mailing address phone:** (218) 454-5483
- **Mailing address fax:** (218) 454-5484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3549 | MN | — |
| 225100000X | Physical Therapist | 6561 | MN | Yes |

## Other

- **Enumeration date:** 04/22/2014
- **Last updated:** 06/02/2014