| NPI | 1740175835 |
|---|---|
| Doing Business As | ACTIVE CHIROPRACTIC AND REHAB |
| Entity Type | Organization |
| Authorized Contact | LOGAN AUTHEMENT Owner 985-859-2296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |