INNATE LIFE LLC NPI 1831602630

NPI Information

  • NPI: 1831602630
  • Provider Name: INNATE LIFE LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: LIVING ROOTS CHIROPRACTIC
  • Address: 2300 N BROADWAY ST
    MOORE, OK
    ZIP 73160
  • Phone: (405) 799-2300

Map and Directions

Get Directions

NPI Details

INNATE LIFE LLC is a chiropractor in Moore, OK. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. INNATE LIFE LLC NPI is 1831602630. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Living Roots Chiropractic.

The provider's business location address is:

2300 N BROADWAY ST
MOORE, OK
ZIP 73160-308
Phone: (405) 799-2300
Fax: (405) 799-2360

The provider's authorized official is Briana Shiley .
The authorized official title is Chiropractor/owner and has the following contact phone number (405) 799-2300.

The enumeration date for this NPI number is 11/15/2017 and was last updated on 11/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor4227OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI