Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Life Clinic of Wi SC

Organization Chiropractor · NPI 1295378875

Life Clinic of Wi SC provides Chiropractor services in Brookfield, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

17585 Golf Pkwy
Brookfield, WI 53045-2948
Phone: (952) 229-7464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1295378875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reza Alizadeh — Owner · (612) 868-6894
NPI enumeratedOctober 25, 2019
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022
Mailing addressPo Box 549, Chanhassen, MN 55317-0549

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