Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Life Chiropractic: a Wellness Centre, PC

Organization Chiropractor · NPI 1811142300

Life Chiropractic: a Wellness Centre, PC is a Chiropractor in Wayzata, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 Bushaway Rd Ste 100
Wayzata, MN 55391-1945
Phone: (952) 746-5352
Fax: (952) 746-5097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5014 (MN)

Record details

NPI number1811142300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reggie Fuller — Chiropractor/President · (952) 746-5352
NPI enumeratedNovember 25, 2008
Last updated in NPPESNovember 25, 2008
Mailing address109 Bushaway Rd, Suite 100, Wayzata, MN 55391-1945

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