| NPI | 1598820821 |
|---|---|
| Doing Business As | LIFESTYLES CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | TODD E WICKMANN Owner 239-334-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH9155) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2013-05-14 |