LIVE YOUR LIFE INTEGRATED HEALTH AND CHIROPRACTIC (NPI# 1588010383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588010383 |
| Entity Type | Organization |
| Organization Name | LIVE YOUR LIFE INTEGRATED HEALTH AND CHIROPRACTIC |
| Practice Address |
671 Mitchell Way Erie CO 80516-5444 |
| Practice Telephone | 3036597140 |
| Mailing Telephone | 3036597140 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | SAMANTHA BOLDT (OWNER, DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 7207595229 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHR.0007262 | CO | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Live Your Life Integrated Health and Chiropractic LLC | 671 Mitchell Way, Suite 200, Erie, CO 80516 |
| Street Address |
671 MITCHELL WAY |
| City | ERIE |
| State | CO |
| Zip Code | 80516-5444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528101318 | Roseanna L Falls | Social Worker | 671 Mitchell Way, Erie, CO 80516 | 2007-02-14 |
| 1093356081 | Abel Corona | Physical Therapist | 671 Mitchell Way, Erie, CO 80516-5444 | 2019-10-01 |
| 1295271450 | Aspen Oral and Facial Surgery, Pllc | Clinic/Center | 671 Mitchell Way, Suite 100, Erie, CO 80516 | 2017-01-12 |
| 1093946378 | Eugene C Kang | Oral & Maxillofacial Surgery | 671 Mitchell Way, Suite 100, Erie, CO 80516-5445 | 2009-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1013561414 | Giselle Serrano | Dentist | 1927 Colorado State Hwy 7 Ste 101, Ste 101, Erie, CO 80516 | 2019-07-25 |
| 1790348258 | Wild Sun Behavioral Services, LLC | Behavioral Analyst | 685 Briggs St, Erie, CO 80516 | 2019-04-19 |
| 1174011274 | Erie Modern Dentistry, LLP | Dentist | 1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516 | 2018-04-25 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1174041073 | Anna Geheren | Registered Nurse | 764 High St, Erie, CO 80516 | 2017-08-31 |
| 1033659321 | T. Brian Cope D.d.s. P.C. | Dentist | 71 Erie Parkway, Suite 101, Erie, CO 80516 | 2017-03-06 |
| 1962959569 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1981 State Hwy 7, Erie, CO 80516 | 2016-09-01 |
| Find all providers in zip 80516 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831304 | Tori Elizabeth Niggel | Chiropractor | 2501 Palermo Dr Ste C, Erie, PA 16506-7210 | 2019-09-25 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1194385336 | Joshua Conrad Briggs | Chiropractor | 2700 W 21st St Ste 8, Erie, PA 16506-6916 | 2019-06-19 |
| 1689230815 | Amelia Marie Gray | Chiropractor | 4864 Buffalo Rd, Erie, PA 16510-2394 | 2019-05-13 |
| 1356844807 | Koziarski Chiropractic, LLC | Chiropractor | 1535 W 8th St Ste A-5, Erie, PA 16505-5005 | 2018-03-12 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1770956575 | Pleasantview Chiropractic, LLC | Chiropractor | 715 E 37th St, Erie, PA 16504-1727 | 2015-11-03 |
| 1811309610 | Dr. Jason Cardinali | Chiropractor | 100 Pennbriar Dr, Erie, PA 16509-6610 | 2014-05-28 |
| 1316296015 | Joint Chiropractic, LLC | Chiropractor | 152 W 12th St, Erie, PA 16501-1725 | 2012-09-10 |
| 1881962009 | Justin K. Cole | Chiropractor | 515 Briggs St, Suite A, Erie, CO 80516-0196 | 2011-12-02 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.