Organization
LIFETIME WELLNESS CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENNAN T WILLIAMS D.C. (MEMBER)
(208) 552-5555
Entity
Organization
Contact information
Practice address
528 N. STATE ST, SHELLEY, ID 83274-1154
(208) 357-0333
(208) 357-2299
Mailing address
528 N. STATE ST, SHELLEY, ID 83274-1154
(208) 357-0333
(208) 357-2299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1397
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962734889
—
ID
Enumeration date
02/03/2010
Last updated
11/21/2025
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