OrganizationActive
Life Wellness Center, Inc.
NPI 1083646889 · General Practice Physician · Lakeville, MN
Provider details
- NPI number
- 1083646889
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Schmidt, Owner/Chiropractor(952) 435-5300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10551 165th St W
Lakeville, MN 55044-5737
Phone: (952) 435-5300
Fax: (952) 898-1454
Approximate (ZIP-level) locationGet directions
Mailing address
10551 165th St W
Lakeville, MN 55044-5737
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2020-03-26
- Certified
- 2020-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.