MEDICARE: LIFE CHIROPRACTIC 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	302R00000X	Health Maintenance Organization	6119	CO

General Provider Information

NPI Number	:	1992986889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	825 DELAWARE AVE
Second Line	:	SUITE P103
City	:	LONGMONT
State	:	CO
Zip	:	80501-6169
Country	:	US
Telephone Number	:	303-678-1979
Fax Number	:	303-678-5577

Provider Business Practice Location Address
First Line	:	825 DELAWARE AVE
Second Line	:	SUITE P103
City	:	LONGMONT
State	:	CO
Zip	:	80501-6169
Country	:	US
Telephone Number	:	303-678-1979
Fax Number	:	303-678-5577

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN R. WENDT
Credential	:	D.C.
Telephone Number	:	303-678-1979

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	04/28/2011

Similar Medicare Providers

1619369238 — MELISSA KARCH RDN
Practice Location Address:

825 DELAWARE AVE STE 200
LONGMONT, CO
80501-6169

Practice Phone: 720-252-9415
Practice Fax: 720-302-0613

1023565777 — NUTRITION DYNAMIX, LLC
Practice Location Address:

825 DELAWARE AVE STE 200
LONGMONT, CO
80501-6169

Practice Phone: 720-252-9415
Practice Fax: 720-302-0613

1730571845 — STACY M RUSE LPCI, NCC, CYI
Practice Location Address:

825 DELAWARE AVE STE 206
LONGMONT, CO
80501-6169

Practice Phone: 720-526-8102
Practice Fax: 817-412-7031

1477935310 — STACY RUSE COUNSELING PLLC
Practice Location Address:

825 DELAWARE AVE STE 206
LONGMONT, CO
80501-6169

Practice Phone: 720-526-8102
Practice Fax: 817-412-7031

1689157257 — GINA LEE PEREZ BSW
Practice Location Address:

825 DELAWARE AVE # 205
LONGMONT, CO
80501-6169

Practice Phone: 970-305-0948
Practice Fax:

1346856341 — WHITE HORSE HEALTH AND WELLNESS CENTERS, LLC.
Practice Location Address:

825 DELAWARE AVE STE 303C
LONGMONT, CO
80501-6169

Practice Phone: 303-776-0995
Practice Fax:

Directions to “LIFE CHIROPRACTIC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.