Active Life Chiropractic LLC
NPI #1053567933 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1053567933
- Entity Type
- Organization
- Organization Name
- Active Life Chiropractic LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Aug 12, 2008
- Last Updated
- Oct 8, 2008
Practice Location
- Address
- 2518 E KENOSHA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-6712
- Phone
- (918) 286-2729
Authorized Official
- Name
- SALLY MESSINGER
- Title
- ADMIN
- Phone
- (918) 286-2729
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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