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LIFE CHIROPRACTIC: A WELLNESS CENTRE, P.C.
NPI 1811142300
Chiropractor in Wayzata, MN

Active since November 25, 2008
109 BUSHAWAY RD, SUITE 100, WAYZATA, MN 55391(952) 746-5352(952) 746-5097 Get Directions Write a Review

NPPES record last updated: November 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Chiropractic: A Wellness Centre, P.c. NPPES

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

LIFE CHIROPRACTIC: A WELLNESS CENTRE, P.C. (NPI 1811142300) is a healthcare organization registered as a chiropractor in Wayzata, Minnesota and active in the NPI registry since November 2008. The organization lists Reggie Stanley Fuller, Chiropractor/president, as its authorized official.

NPPES Registry Identity

NPI1811142300
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE CHIROPRACTIC: A WELLNESS CENTRE, P.C.
Location Address109 BUSHAWAY RD, SUITE 100Wayzata, MN 55391-1945
Mailing Address109 Bushaway Rd, Suite 100Wayzata, MN 55391-1945 · (952) 746-5352 · Fax (952) 746-5097
Phone(952) 746-5352
Fax(952) 746-5097
Organization SubpartNo
Authorized OfficialReggie Stanley FullerChiropractor/president · (952) 746-5352
Enumeration DateNovember 25, 2008
✔ NPI 1811142300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5014
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.
109 BUSHAWAY RD, Wayzata, MN 55391
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

NORTHLAND BILLING SERVICES
Contractor
109 BUSHAWAY RD, SUITE 300
WAYZATA, MN 55391
Hennepin County (952) 935-1961
LANDIS PLASTIC SURGERY P C
Surgery (Plastic and Reconstructive Surgery)
109 BUSHAWAY RD, SUITE 200
WAYZATA, MN 55391
Hennepin County (763) 551-8985
DR. THOMAS PATRICK STECKER D.C.
Chiropractor
109 BUSHAWAY RD, SUITE #100
WAYZATA, MN 55391
Hennepin County (952) 746-5351
GEORGE HAROLD LANDIS MD
Surgery (Plastic and Reconstructive Surgery)
109 BUSHAWAY RD, SUITE 200
WAYZATA, MN 55391
Hennepin County (763) 551-8985
DR. JULIA ANN HERMAN D.D.S
Dentist
109 BUSHAWAY RD, SUITE 300
WAYZATA, MN 55391
Hennepin County (612) 384-1277
RAJNI SHAH OD
Optometrist
109 BUSHAWAY RD, STE 300
WAYZATA, MN 55391
Hennepin County (952) 475-3787
SIMONA RAE WHILEY CMT
Massage Therapist
109 BUSHAWAY RD, SUITE 200
WAYZATA, MN 55391
Hennepin County (612) 387-6044
LAKE MINNETONKA DENTAL
Dentist
109 BUSHAWAY RD, SUITE 300
WAYZATA, MN 55391
Hennepin County (952) 475-0225

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: A Wellness Centre, P.C.'s NPI number?

The NPI number for Life Chiropractic: A Wellness Centre, P.C. is 1811142300. It was assigned to this organization in the NPPES registry on November 25, 2008.

Where is Life Chiropractic: A Wellness Centre, P.C. located?

Life Chiropractic: A Wellness Centre, P.C. is located at 109 Bushaway Rd Suite 100, Wayzata, MN 55391. The listed phone number is (952) 746-5352.

What is Life Chiropractic: A Wellness Centre, P.C.'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: A Wellness Centre, P.C. was last updated on November 25, 2008. 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.