Active Living Chiropractic & Wellness LLC

NPI #1316415623 in Boise, Idaho

Provider Information

NPI Number: 1316415623
Entity Type: Organization
Organization Name: Active Living Chiropractic & Wellness LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 5, 2018
Last Updated: Feb 19, 2019

Practice Location

Address: 13999 W WAINWRIGHT DR STE 201
City: Boise
State: Idaho
ZIP Code: 83713-1969
Phone: (208) 939-0775

Authorized Official

Name: MRS. KRYSTA MILLER
Title: BILLING SPECIALIST
Phone: (208) 939-0775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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