Provider Demographics
NPI:1235649930
Name:ADJUSTED FOR LIFE FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ADJUSTED FOR LIFE FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ZOE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:620-290-0349
Mailing Address - Street 1:408 VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:LATHROP
Mailing Address - State:MO
Mailing Address - Zip Code:64465-9203
Mailing Address - Country:US
Mailing Address - Phone:620-290-0349
Mailing Address - Fax:
Practice Address - Street 1:105 S JEFFERSON ST STE B3
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:MO
Practice Address - Zip Code:64060-8833
Practice Address - Country:US
Practice Address - Phone:816-281-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-07
Last Update Date:2017-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017031033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty