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Longevity Chiropractic, LLC

Rehabilitation Chiropractor in Pueblo, CO · enumerated 2012 · authorized official Derek Stickler, Owner/Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174875298

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Registry record

Entity type Organization (Type 2)
Legal business name Longevity Chiropractic, LLC
Practice address 2447 S Prairie Ave, Pueblo, CO, 81005
Phone (254) 394-0836
Enumeration date Oct 12, 2012
Last updated in NPPES Oct 4, 2019

Taxonomy & classification

111NN0400X Neurology Chiropractor Chiropractic Providers · License 6888 (CO) Secondary
111NP0017X Pediatric Chiropractor Chiropractic Providers · License 6891 (CO) Secondary
111NR0400X Rehabilitation Chiropractor Chiropractic Providers · License 6888 (CO) Primary
111NS0005X Sports Physician Chiropractor Chiropractic Providers · License 6888 (CO) Secondary

Authorized official

Name Derek Stickler
Title Owner/Manager
Phone (254) 394-0836

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Longevity Chiropractic, LLC?
Longevity Chiropractic, LLC is registered in NPPES as a Rehabilitation Chiropractor (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-04.