Active Life Chiropractic LLC
Chiropractor in Springfield, MO. Organization (NPI-2).
NPI number1639448905
StatusActive
Last updated in NPPESDec 15, 2011
Details
- NPI
- 1639448905
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Life Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- Dec 15, 2011
- Last updated
- Dec 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2011013962 | MO | Yes |
Practice location
3250 E Battlefield St Ste PSpringfield, MO 65804-4081
Phone 417-597-3590
Mailing address
3250 E Battlefield St Ste PSpringfield, MO 65804-4081
Authorized official
Christina Thomas
Chiropractor/Manager
4175973590
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