| Live Well Chiropractic | |
|
315 E River Rd, Brainerd, MN 56401-3503 | |
| (218) 454-5483 | |
| (218) 454-5484 |
| Full Name | Live Well Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 315 E River Rd, Brainerd, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942620570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3549 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | 6561 (Minnesota) | Primary |
| Provider Name | James Lonn Davis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508970344 PECOS PAC ID: 5799730230 Enrollment ID: I20111010000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Chiropractic 315 E River Rd, Brainerd, MN 56401-3503 Ph: (218) 454-5483 | Live Well Chiropractic 315 E River Rd, Brainerd, MN 56401-3503 Ph: (218) 454-5483 |
Lars T Gustafson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 N 5th St, Brainerd, MN 56401 Phone: 218-829-4231 Fax: 218-825-3855 | |
Mr. Miles Patrick Krueger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 804 Wright St, Brainerd, MN 56401 Phone: 218-828-2501 | |
Tyler J Blong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2016 S 6th St, Brainerd, MN 56401 Phone: 218-828-7375 | |
Larry Reed, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 623 Madison St, Brainerd, MN 56401 Phone: 218-829-5380 Fax: 218-825-0972 | |
Laura Melin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14890 Beaver Dam Rd, Brainerd, MN 56401 Phone: 218-297-1605 Fax: 320-245-1008 | |
Monica Bostrom, L.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1919 S 7th St, Brainerd, MN 56401 Phone: 218-825-0913 Fax: 218-828-1947 | |
Todd Soxman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 722 Nw 7th St, Brainerd, MN 56401 Phone: 218-825-2622 |