Provider Demographics
NPI:1073797171
Name:BETTER LIFE CHIROPRACTIC AND WELLNESS
Entity Type:Organization
Organization Name:BETTER LIFE CHIROPRACTIC AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATING MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:BISSETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:352-207-7459
Mailing Address - Street 1:314 LAGRANDE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-2393
Mailing Address - Country:US
Mailing Address - Phone:352-430-0064
Mailing Address - Fax:
Practice Address - Street 1:314 LAGRANDE BLVD STE A
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-2393
Practice Address - Country:US
Practice Address - Phone:352-430-0064
Practice Address - Fax:352-430-0497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8487111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty