OrganizationActive
Wellness & Longevity Center
NPI 1306941406 · Chiropractor · Stillwater, MN
Provider details
- NPI number
- 1306941406
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Sandra Spore, Clinic Director(651) 439-1013
- License
- 2810 (MN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1530 Frontage Rd W
Valley Ridge Mall
Stillwater, MN 55082-2102
Phone: (651) 439-1013
Fax: (651) 439-3465
Street-level locationGet directions
Mailing address
1530 Frontage Rd W
Stillwater, MN 55082-2102
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.