| NPI | 1922577659 |
|---|---|
| Doing Business As | ACTIVE LIFE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | SAMUEL HENLEY Doctor 573-356-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |