Provider Demographics
NPI:1407562317
Name:LIFE KEY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:LIFE KEY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MS, LMT
Authorized Official - Phone:301-605-0728
Mailing Address - Street 1:2600 CRYSTAL DR APT 814
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-3572
Mailing Address - Country:US
Mailing Address - Phone:571-732-2229
Mailing Address - Fax:571-388-3942
Practice Address - Street 1:2600 CRYSTAL DR APT 814
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-3572
Practice Address - Country:US
Practice Address - Phone:571-732-2229
Practice Address - Fax:571-388-3942
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE BODY ANGEL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty