Provider Demographics
NPI:1063222537
Name:LIFE CHARGE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:LIFE CHARGE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PALMER
Authorized Official - Middle Name:
Authorized Official - Last Name:PIANA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-219-9912
Mailing Address - Street 1:148 ROBINHOOD CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-4814
Mailing Address - Country:US
Mailing Address - Phone:860-733-3696
Mailing Address - Fax:615-825-0041
Practice Address - Street 1:1921 NASHVILLE PIKE STE 500
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-5262
Practice Address - Country:US
Practice Address - Phone:615-219-9912
Practice Address - Fax:615-825-0041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty