NPI | 1922577659 |
---|---|
Doing Business As | ACTIVE LIFE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | SAMUEL HENLEY Doctor 573-356-1876 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2018-11-26 |
Last Update Date | 2025-06-19 |