Provider Demographics
NPI:1497001325
Name:ALL ABOUT CHIROPRACTIC LIFE PRINCIPLES LLC
Entity Type:Organization
Organization Name:ALL ABOUT CHIROPRACTIC LIFE PRINCIPLES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER AND MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:TRAVIS
Authorized Official - Last Name:NYE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-833-9445
Mailing Address - Street 1:6502 NORMANDY LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1082
Mailing Address - Country:US
Mailing Address - Phone:608-833-9445
Mailing Address - Fax:
Practice Address - Street 1:6502 NORMANDY LN
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1082
Practice Address - Country:US
Practice Address - Phone:608-833-9445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5499111N00000X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty