Healthcare Provider Details

I. General information

NPI: 1316872591
Provider Name (Legal Business Name): LEATHERMAN CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5159 E PARADISE RD
BATTLE CREEK MI
49014-8333
US

IV. Provider business mailing address

510 COLUMBIA AVE E
BATTLE CREEK MI
49014-5456
US

V. Phone/Fax

Practice location:
  • Phone: 269-979-2566
  • Fax:
Mailing address:
  • Phone: 269-213-4669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SYDNEY LEATHERMAN
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 269-213-4669