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ACTIVE RESTORATIVE THERAPEUTICS LLC NPI 1962902395


NPI Information

NPI: 1962902395
Provider Name: ACTIVE RESTORATIVE THERAPEUTICS LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1880 LANCASTER DR NE STE 127
SALEM, OR
ZIP 97305
Phone: (503) 428-7539
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ACTIVE RESTORATIVE THERAPEUTICS LLC is a chiropractor in Salem, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ACTIVE RESTORATIVE THERAPEUTICS LLC NPI is 1962902395. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1880 LANCASTER DR NE STE 127
SALEM, OR
ZIP 97305-069
Phone: (503) 428-7539

The provider's authorized official is Joshua Sanchez .
The authorized official title is Owner and has the following contact phone number (503) 428-7539.

The enumeration date for this NPI number is 2/12/2018 and was last updated on 2/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor5744OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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