Active Life LLC

NPI #1922577659 in Columbia, Missouri

Provider Information

NPI Number: 1922577659
Entity Type: Organization
Organization Name: Active Life LLC
Primary Specialty: General Practice
Enumeration Date: Nov 26, 2018
Last Updated: Jun 19, 2025

Practice Location

Address: 2804 FORUM BLVD STE 1A
City: Columbia
State: Missouri
ZIP Code: 65203-6322
Phone: (573) 999-7805

Authorized Official

Name: SAMUEL HENLEY, DC
Title: DOCTOR
Phone: (573) 356-1876

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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