# LIFE CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1992986889
- **Authorized official:** DR. JOHN R. WENDT D.C. (OWNER)
- **Authorized official phone:** (303) 678-1979

## Contact information

- **Practice address:** 825 DELAWARE AVE, SUITE P103, LONGMONT, CO 80501-6169
- **Practice address phone:** (303) 678-1979
- **Practice address fax:** (303) 678-5577
- **Mailing address:** 825 DELAWARE AVE, SUITE P103, LONGMONT, CO 80501-6169
- **Mailing address phone:** (303) 678-1979
- **Mailing address fax:** (303) 678-5577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 6119 | CO | Yes |

## Other

- **Enumeration date:** 11/19/2007
- **Last updated:** 04/28/2011