Healthcare Provider Details

I. General information

NPI: 1821924846
Provider Name (Legal Business Name): LIFE TAKES ADJUSTMENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13111 W 74TH ST
SHAWNEE KS
66216-4412
US

IV. Provider business mailing address

13111 W 74TH ST
SHAWNEE KS
66216-4412
US

V. Phone/Fax

Practice location:
  • Phone: 314-651-0260
  • Fax:
Mailing address:
  • Phone: 314-651-0260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: AUSTIN SKOBA
Title or Position: OWNER
Credential: STUDENT CHIROPRACTOR
Phone: 314-651-0260