4 Active Health INC

NPI #1467909804 in Longmont, Colorado

Provider Information

NPI Number
1467909804
Entity Type
Organization
Organization Name
4 Active Health INC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Sep 1, 2016
Last Updated
Nov 9, 2021

Practice Location

Address
1225 KEN PRATT BLVD
Address 2
SUITE 222
ZIP Code
80501-6518
Phone
(303) 772-3100

Authorized Official

Name
DR. JONATHAN C SHUM, DC
Title
PRESIDENT
Phone
(303) 478-4678

Specialties & Taxonomy Codes

Specialty
Chiropractor
Clinic/Center - Health ServiceHealth Service

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