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LIFE LINE CHIROPRACTIC
NPI 1649331380
Chiropractor - Sports Physician in Myrtle Beach, SC

Active since December 13, 2006
LIFE LINE CHIROPRACTIC, 1151 ROBERT GRISSOM PKWY, MYRTLE BEACH, SC 29577(843) 839-5588(843) 839-5591 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Line Chiropractic NPPES

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

LIFE LINE CHIROPRACTIC (NPI 1649331380) is a healthcare organization registered as a sports physician in Myrtle Beach, South Carolina and active in the NPI registry since December 2006. The organization lists Tammy L Costello, Owner, as its authorized official.

NPPES Registry Identity

NPI1649331380
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameLIFE LINE CHIROPRACTIC
Location AddressLIFE LINE CHIROPRACTIC, 1151 ROBERT GRISSOM PKWYMyrtle Beach, SC 29577
Mailing AddressLife Line Chiropractic, 1151 Robert Grissom PkwyMyrtle Beach, SC 29577 · (843) 839-5588 · Fax (843) 839-5591
Phone(843) 839-5588
Fax(843) 839-5591
Organization SubpartNo
Authorized OfficialTammy L CostelloOwner · (843) 839-5588
Enumeration DateDecember 13, 2006
Last NPPES UpdateMay 11, 2009
✔ NPI 1649331380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in SC · SC2755
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
LIFE LINE CHIROPRACTIC, Myrtle Beach, SC 29577
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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 MULTIPLE 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 Life Line Chiropractic's NPI number?

The NPI number for Life Line Chiropractic is 1649331380. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Life Line Chiropractic located?

Life Line Chiropractic is located at Life Line Chiropractic 1151 Robert Grissom Pkwy, Myrtle Beach, SC 29577. The listed phone number is (843) 839-5588.

What is Life Line Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for Life Line Chiropractic was last updated on May 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.