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LIFE CHIROPRACTIC CENTER PA
NPI 1639363310
Chiropractor in Port St Lucie, FL

Active since September 05, 2007
1230 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 398-8888 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Chiropractic Center Pa NPPES

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

LIFE CHIROPRACTIC CENTER PA (NPI 1639363310) is a healthcare organization registered as a chiropractor in Port St Lucie, Florida and active in the NPI registry since September 2007. The organization lists Martin Nathaniel Rukeyser, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1639363310
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE CHIROPRACTIC CENTER PA
Location Address1230 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5330
Mailing Address1230 Se Port St Lucie BlvdPort St Lucie, FL 34952-5330 · (772) 398-8888
Phone(772) 398-8888
Organization SubpartNo
Authorized OfficialMartin Nathaniel RukeyserClinic Director · (772) 398-8888
Enumeration DateSeptember 5, 2007
✔ NPI 1639363310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH8717
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.
1230 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952
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Other Identifiers 2

Medicare PIN74769FL
Other74769FL · Blue Cross Blue Shield

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

Other Providers at the Same Location NPPES

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

DR. MARTIN RUKEYSER D.C.
Chiropractor
1230 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 398-8888

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 Life Chiropractic Center PA's NPI number?

The NPI number for Life Chiropractic Center PA is 1639363310. It was assigned to this organization in the NPPES registry on September 5, 2007.

Where is Life Chiropractic Center PA located?

Life Chiropractic Center PA is located at 1230 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 398-8888.

What is Life Chiropractic Center PA'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 Life Chiropractic Center PA was last updated on September 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.