Organization
LIFE REFINED CHIROPRACTIC, LLC
Active
Parent organization
LEGACY IMPACT LLC
Other names
Life Refined Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY IMPACT LLC
Authorized official
DR. STACI JEAN BLUME (PARTNER)
(317) 674-8857
Entity
Organization
Contact information
Practice address
14214 VALLEY CREST CT, FISHERS, IN 46040
(701) 340-7234
Mailing address
14297 BERGEN BLVD STE 100, NOBLESVILLE, IN 46060-3383
(317) 674-8857
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002871A
IN
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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