WELLNESS & LONGEVITY CENTER
NPI 1306941406
Chiropractor in Stillwater, MN

Active since September 13, 2006
1530 FRONTAGE RD W, VALLEY RIDGE MALL, STILLWATER, MN 55082(651) 439-1013(651) 439-3465 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wellness & Longevity Center NPPES

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

WELLNESS & LONGEVITY CENTER (NPI 1306941406) is a healthcare organization registered as a chiropractor in Stillwater, Minnesota and active in the NPI registry since September 2006. The organization lists Sandra Lea Spore, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1306941406
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWELLNESS & LONGEVITY CENTER
Location Address1530 FRONTAGE RD W, VALLEY RIDGE MALLStillwater, MN 55082-2102
Mailing Address1530 Frontage Rd W, Valley Ridge MallStillwater, MN 55082-2102 · (651) 439-1013 · Fax (651) 439-3465
Fax(651) 439-3465
Organization SubpartNo
Authorized OfficialSandra Lea SporeClinic Director · (651) 439-1013
Enumeration DateSeptember 13, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1306941406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 2810
Definition
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.
1530 FRONTAGE RD W, Stillwater, MN 55082

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Wellness & Longevity Center's NPI number?

The NPI number for Wellness & Longevity Center is 1306941406. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Wellness & Longevity Center located?

Wellness & Longevity Center is located at 1530 Frontage Rd W Valley Ridge Mall, Stillwater, MN 55082. The listed phone number is (651) 439-1013.

What is Wellness & Longevity Center's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Wellness & Longevity Center was last updated on August 22, 2020. 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.