Organization
CHIROLIFE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY HENSLEY DC (OWNER)
(479) 721-5824
Entity
Organization
Contact information
Practice address
310 THIRD ST STE B, PORT ST JOE, FL 32456-1834
(850) 673-0604
Mailing address
240 SEA GROVE WAY, PORT ST JOE, FL 32456-4831
(479) 721-5824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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