OrganizationActive
Lifestyle Wellness Center, LLC
NPI 1790811784 · Nutrition Chiropractor · Pineville, MO
Provider details
- NPI number
- 1790811784
- Entity type
- Organization
- Primary specialty
- Nutrition ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Lesli Smith, Managing Member(417) 223-4103
- License
- 003822 (MO)
Specialties & taxonomies
Chiropractic Providers
Practice location
307 Main Street
Pineville, MO 64856
Phone: (417) 223-4103
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 37
Pineville, MO 64856-0037
Registry dates
- Enumerated
- 2007-02-26
- 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.