Active Sports And Family Chiropractic LLC
Chiropractor in Grants Pass, OR. Organization (NPI-2).
NPI number1982174264
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1982174264
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Sports And Family Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2018
- Certification date
- Jul 8, 2024
- Last updated
- Jul 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
1529 Ne F StreetGrants Pass, OR 97526
Phone 541-476-0662 · Fax 541-476-0541
Mailing address
1529 Ne F StreetGrants Pass, OR 97526
Phone 541-476-0662 · Fax 541-476-0541
Authorized official
Corey O'Neil
Owner
5414760662
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