Active Motion Chiropractic P.C.
Chiropractor in Omaha, NE. Organization (NPI-2).
NPI number1306089651
StatusActive
Last updated in NPPESJun 21, 2013
Details
- NPI
- 1306089651
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Motion Chiropractic P.C.
- Organization subpart
- No
- Enumeration date
- Apr 16, 2009
- Last updated
- Jun 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 1545 | NE | Yes |
Practice location
10815 Prairie Brook RdOmaha, NE 68144-4827
Phone 402-397-1800
Mailing address
10815 Prairie Brook RdOmaha, NE 68144-4827
Phone 402-397-1800
Authorized official
Tyler Anson Baker
President
4023971800
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