MEDICARE: LIVE WELL ALABAMA, LLC

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	:	1366025793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVE WELL ALABAMA, LLC

Provider Business Mailing Address
First Line	:	30941 MILL LN STE B
Second Line	:
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-5457
Country	:	US
Telephone Number	:	251-459-0098
Fax Number	:	844-861-4341

Provider Business Practice Location Address
First Line	:	30941 MILL LN STE B
Second Line	:
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-5457
Country	:	US
Telephone Number	:	251-459-0098
Fax Number	:	844-861-4341

Authorized Official
Title or Position	:	OWNER
Name	:	MARK E SWIGERT
Credential	:	DC
Telephone Number	:	251-377-3655

Provider Enumeration Date	:	05/03/2021
Last Update Date	:	08/28/2025

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Directions to “LIVE WELL ALABAMA, LLC ” Practice Location

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