| NPI | 1073680526 |
|---|---|
| Doing Business As | ACTIVE LIFE CHIROPRACTIC & MASSAGE |
| Entity Type | Organization |
| Authorized Contact | JAMES DANIEL PARKER Manager 801-766-1256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 6070595-1202) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |