Active Life Chiropractic Center

NPI #1144247818 in Geneva, Ohio

Provider Information

NPI Number: 1144247818
Entity Type: Organization
Organization Name: Active Life Chiropractic Center
Primary Specialty: Chiropractor
Enumeration Date: Jul 17, 2006
Last Updated: Jun 16, 2008

Practice Location

Address: 614 E MAIN ST
City: Geneva
State: Ohio
ZIP Code: 44041-1385
Phone: (440) 466-1155

Authorized Official

Name: JAY B RIEDEL, D.O.
Title: OWNER
Phone: (440) 466-1155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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