OrganizationActive
Life Chiropractic: a Wellness Centre, P.C.
NPI 1811142300 · Chiropractor · Wayzata, MN
Life Chiropractic: a Wellness Centre, P.C. is a Chiropractor organization in Wayzata, MN (NPI 1811142300).
Provider details
- NPI number
- 1811142300
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Reggie Fuller, Chiropractor/President(952) 746-5352
- License
- 5014 (MN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
109 Bushaway Rd
Suite 100
Wayzata, MN 55391-1945
Phone: (952) 746-5352
Fax: (952) 746-5097
Street-level locationGet directions
Mailing address
109 Bushaway Rd
Wayzata, MN 55391-1945
Registry dates
- Enumerated
- 2008-11-25
- Last updated
- 2008-11-25
Frequently asked questions
- What is Life Chiropractic: a Wellness Centre, P.C.'s NPI number?
- Life Chiropractic: a Wellness Centre, P.C.'s National Provider Identifier (NPI) is 1811142300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Chiropractic: a Wellness Centre, P.C.?
- Life Chiropractic: a Wellness Centre, P.C. is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Life Chiropractic: a Wellness Centre, P.C. located?
- Life Chiropractic: a Wellness Centre, P.C.'s practice location on file with NPPES is 109 Bushaway Rd, Wayzata, MN 55391-1945.
- What is Life Chiropractic: a Wellness Centre, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Life Chiropractic: a Wellness Centre, P.C. is (952) 746-5352.
- Who is the authorized official for Life Chiropractic: a Wellness Centre, P.C.?
- The authorized official listed on Life Chiropractic: a Wellness Centre, P.C.'s NPPES record is Reggie Fuller, Chiropractor/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Chiropractic: a Wellness Centre, P.C.'s NPI active?
- Yes — Life Chiropractic: a Wellness Centre, P.C.'s NPI (1811142300) is active in the NPPES registry as of the last update on 2008-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.