| Organization Name: | LIFE CLINIC, P.A. |
| NPI Number: | 1023296167 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REZA P ALIZADEH (CHIROPRACTOR) |
| Mailing Address: | 5525 Cedar Lake Rd S St Louis Park |
| State: | MN US |
| Postal Code: | 554161420 |
| Phone Number: | 6516900866 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2008 |
| NPI Last Update Date: | 08/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 8737 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |