LONGEVITY CHIROPRACTIC, LLC
NPI 1174875298
Chiropractor - Rehabilitation in Pueblo, CO

Active since October 12, 2012
2447 S PRAIRIE AVE, PUEBLO, CO 81005(254) 394-0836 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Longevity Chiropractic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGEVITY CHIROPRACTIC, LLC (NPI 1174875298) is a healthcare organization registered as a rehabilitation in Pueblo, Colorado and active in the NPI registry since October 2012. The organization lists Derek Wade Stickler, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1174875298
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NameLONGEVITY CHIROPRACTIC, LLC
Location Address2447 S PRAIRIE AVEPueblo, CO 81005
Mailing Address1504 Sandpiper PlPueblo, CO 81006-9751 · (254) 394-0836
Organization SubpartNo
Authorized OfficialDerek Wade SticklerOwner/manager · (254) 394-0836
Enumeration DateOctober 12, 2012
Last NPPES UpdateOctober 4, 2019
NPI 1174875298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License Licensed in CO · 6888
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
Also ListedChiropractor · NeurologyTaxonomy 111NN0400X · License 6888 (CO)
Also ListedChiropractor · Pediatric ChiropractorTaxonomy 111NP0017X · License 6891 (CO)
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 6888 (CO)
2447 S PRAIRIE AVE, Pueblo, CO 81005

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2447 S PRAIRIE AVE
PUEBLO, CO 81005
Chiropractor
2447 S PRAIRIE AVE
PUEBLO, CO 81005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Longevity Chiropractic, LLC's NPI number?

The NPI number for Longevity Chiropractic, LLC is 1174875298. It was assigned to this organization in the NPPES registry on October 12, 2012.

Where is Longevity Chiropractic, LLC located?

Longevity Chiropractic, LLC is located at 2447 S Prairie Ave, Pueblo, CO 81005. The listed phone number is (254) 394-0836.

What is Longevity Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

When was this NPI record last updated?

The NPPES record for Longevity Chiropractic, LLC was last updated on October 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.