| NPI | 1942767975 |
|---|---|
| Other Name | ACTIVE LIFE PROJECT LLC |
| Entity Type | Organization |
| Authorized Contact | KELLI M VELEZ Owner 919-225-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NR0400X | |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-07-26 |