Organization
PURE LIFE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELBY RENEE WAGNER (MEMBER)
(317) 750-8583
Entity
Organization
Contact information
Practice address
7149 WHITESTOWN PKWY, ZIONSVILLE, IN 46077-7626
(219) 964-1188
Mailing address
7149 WHITESTOWN PKWY, ZIONSVILLE, IN 46077-7626
(317) 750-8583
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/29/2024
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