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

Life Line Chiropractic

Organization Sports Physician Chiropractor · NPI 1649331380

Life Line Chiropractic is a Sports Physician Chiropractor in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006

Practice location Partly verified

Some contact details are missing from the federal record.

Life Line Chiropractic 1151 Robert Grissom Pkwy
Myrtle Beach, SC 29577
Phone: (843) 839-5588
Fax: (843) 839-5591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence SC2755 (SC)

Record details

NPI number1649331380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Costello — Owner · (843) 839-5588
NPI enumeratedDecember 13, 2006
Last updated in NPPESMay 11, 2009
Mailing addressLife Line Chiropractic, 1151 Robert Grissom Pkwy, Myrtle Beach, SC 29577

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