Organization
LIFE DESIGN CHIROPRACTIC, PLLC
Active
Other names
Life Design Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER VINE DC (OPERATING MANAGER)
(406) 946-1813
Entity
Organization
Contact information
Practice address
222 E MAIN ST # 1-C, ENNIS, MT 59729-9229
(406) 946-1813
Mailing address
222 E MAIN ST # 1-C, ENNIS, MT 59729-9229
(406) 946-1813
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
05/12/2021
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