Healthcare Provider Details

I. General information

NPI: 1770889149
Provider Name (Legal Business Name): LIVE WELL CHIROPRACTIC CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2011
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8203 S STATE ROUTE 48
MAINEVILLE OH
45039-8830
US

IV. Provider business mailing address

8203 S STATE ROUTE 48
MAINEVILLE OH
45039-8830
US

V. Phone/Fax

Practice location:
  • Phone: 513-285-7482
  • Fax: 513-285-7483
Mailing address:
  • Phone: 513-285-7482
  • Fax: 513-285-7483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4152
License Number StateOH

VIII. Authorized Official

Name: KIMBERLY ANN MUHLENKAMP
Title or Position: OWNER
Credential: D.C.
Phone: 513-285-7482