Organization · Type 2 NPI

Active Lifestyle Chiropractic

Chiropractor · Phoenix, AZ

NPI number 1083905301 Active

Practice location

16515 S 40th St, Suite 129
Phoenix, AZ 85048-0558

Fax (480) 704-0109

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X7750 (AZ)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1083905301

Active Lifestyle Chiropractic's National Provider Identifier is 1083905301, issued on Apr 20, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 20, 2011.