MEDICARE: LIVE LIFE CHIROPRACTIC CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1316510811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVE LIFE CHIROPRACTIC CORPORATION

Provider Business Mailing Address
First Line	:	1557 AIRPORT RD STE A
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-6934
Country	:	US
Telephone Number	:	501-767-0900
Fax Number	:	501-767-8430

Provider Business Practice Location Address
First Line	:	1557 AIRPORT RD STE A
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-6934
Country	:	US
Telephone Number	:	501-767-0900
Fax Number	:	501-767-8430

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES NEIL
Credential	:	DC
Telephone Number	:	501-767-0900

Provider Enumeration Date	:	07/21/2021
Last Update Date	:	12/05/2023

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Directions to “LIVE LIFE CHIROPRACTIC CORPORATION ” Practice Location

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