Elevated Life Family Chiropractic PLLC
Chiropractor in Shelley, ID. Organization (NPI-2).
NPI number1215437751
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1215437751
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevated Life Family Chiropractic PLLC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2018
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
| 111NP0017X | Chiropractor, Pediatric Chiropractor | – | – |
Other names
- Elevated Life Family Chiropractic (Doing Business As)
Practice location
120 N Emerson AveShelley, ID 83274-1105
Phone 208-357-1949
Mailing address
120 N Emerson AveShelley, ID 83274-1105
Phone 208-357-1949
Authorized official
Randall Searle
Owner
2083571949
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Other Chiropractor providers in Shelley, ID
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- Douglas Jed Peterson, D.C.NPI 1023142585
- Randall Searle, DCNPI 1043724990
- Travis R Wilkins, D.C.NPI 1962436253
- Brennan Todd Williams, D.C.NPI 1811228521
All 10 Chiropractor providers in Shelley · All 91 providers in Shelley
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