Active Life Chiropractic, INC.
Clinic/Center in Salt Lake City, UT. Organization (NPI-2).
NPI number1487890711
StatusActive
Last updated in NPPESDec 16, 2008
Details
- NPI
- 1487890711
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Life Chiropractic, INC.
- Organization subpart
- No
- Enumeration date
- Dec 16, 2008
- Last updated
- Dec 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 349519-1202 | UT | Yes |
Practice location
2645 Parleys WaySalt Lake City, UT 84109-1636
Phone 801-485-4455 · Fax 801-485-2255
Mailing address
2645 Parleys WaySalt Lake City, UT 84109-1636
Phone 801-485-4455 · Fax 801-485-2255
Authorized official
Matthew Turner Holmes
Owner
8014854455
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