Chiro-Active Inc.

NPI #1639347677 in Hyde Park, Utah

Provider Information

NPI Number
1639347677
Entity Type
Organization
Organization Name
Chiro-Active Inc.
Primary Specialty
Health Maintenance Organization
Enumeration Date
Feb 12, 2008
Last Updated
Mar 3, 2008

Practice Location

Address
3935 N 75 W
State
Utah
ZIP Code
84318-4111
Phone
(435) 563-4772

Authorized Official

Name
DR. JUSTIN BRUCE TRAVELLER, D.C.
Title
OWNER
Phone
(435) 563-4772

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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