LIFETIME WELLNESS CHIROPRACTIC PLLC
NPI 1962734889
Chiropractor in Shelley, ID

Active since February 03, 2010
528 N. STATE ST, SHELLEY, ID 83274(208) 357-0333(208) 357-2299 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifetime Wellness Chiropractic Pllc NPPES

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

LIFETIME WELLNESS CHIROPRACTIC PLLC (NPI 1962734889) is a healthcare organization registered as a chiropractor in Shelley, Idaho and active in the NPI registry since February 2010. The organization lists Brennan T Williams, Member, as its authorized official.

NPPES Registry Identity

NPI1962734889
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFETIME WELLNESS CHIROPRACTIC PLLC
Location Address528 N. STATE STShelley, ID 83274-1154
Mailing Address528 N. State StShelley, ID 83274-1154 · (208) 357-0333 · Fax (208) 357-2299
Fax(208) 357-2299
Organization SubpartNo
Authorized OfficialBrennan T WilliamsMember · (208) 552-5555
Enumeration DateFebruary 3, 2010
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
NPI 1962734889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in ID · CHIA-1397
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.
528 N. STATE ST, Shelley, ID 83274

Other Identifiers 1

Medicaid1962734889ID

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

Accepted Insurance

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 Lifetime Wellness Chiropractic PLLC's NPI number?

The NPI number for Lifetime Wellness Chiropractic PLLC is 1962734889. It was assigned to this organization in the NPPES registry on February 3, 2010.

Where is Lifetime Wellness Chiropractic PLLC located?

Lifetime Wellness Chiropractic PLLC is located at 528 N. State St, Shelley, ID 83274. The listed phone number is (208) 357-0333.

What is Lifetime Wellness Chiropractic PLLC's specialty?

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

What insurance does Lifetime Wellness Chiropractic PLLC accept?

Health plans from University of Utah Health Plans list Lifetime Wellness Chiropractic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifetime Wellness Chiropractic PLLC was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.