Healthcare Provider Details

I. General information

NPI: 1790118982
Provider Name (Legal Business Name): TRUE LIFE CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2013
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2602 FAIRBANKS ST
ANCHORAGE AK
99503-2824
US

IV. Provider business mailing address

2602 FAIRBANKS ST
ANCHORAGE AK
99503-2824
US

V. Phone/Fax

Practice location:
  • Phone: 907-433-9973
  • Fax: 907-677-1880
Mailing address:
  • Phone: 907-433-9973
  • Fax: 907-677-1880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number512
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. MAURICE MICHAEL MICHAUD
Title or Position: CEO
Credential: DC
Phone: 907-646-2225