Provider Demographics
NPI:1194061341
Name:HANDS OF LIFE CHIROPRACTIC & REHAB CENTER PC
Entity type:Organization
Organization Name:HANDS OF LIFE CHIROPRACTIC & REHAB CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARTER
Authorized Official - Middle Name:ALANDRIX
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:251-447-2142
Mailing Address - Street 1:2056 DAUPHIN ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-1929
Mailing Address - Country:US
Mailing Address - Phone:251-447-2142
Mailing Address - Fax:251-447-2271
Practice Address - Street 1:2056 DAUPHIN ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-1929
Practice Address - Country:US
Practice Address - Phone:251-447-2142
Practice Address - Fax:251-447-2271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2127111N00000X
AL2038111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty