Active Life Chiropractic Center, INC.
Chiropractor in St George, UT. Organization (NPI-2).
NPI number1881839835
StatusActive
Last updated in NPPESDec 4, 2008
Details
- NPI
- 1881839835
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Life Chiropractic Center, INC.
- Organization subpart
- No
- Enumeration date
- Dec 4, 2008
- Last updated
- Dec 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 7154097-1202 | UT | Yes |
Practice location
676 S Bluff StSuite 200
St George, UT 84770-3596
Phone 435-674-7515 · Fax 435-674-7565
Mailing address
259 S 2670 ESt George, UT 84790-6412
Phone 435-229-2649 · Fax 435-674-7565
Authorized official
Scott Eric Chamberlain
President
4352292649
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