ACTIVE SPORTS AND FAMILY CHIROPRACTIC LLC NPI 1982174264

NPI Information

ACTIVE SPORTS AND FAMILY CHIROPRACTIC LLC is a chiropractor in Grants Pass, 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 SPORTS AND FAMILY CHIROPRACTIC LLC NPI is 1982174264. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1529 NE F STREET
GRANTS PASS, OR
ZIP 97526
Phone: (541) 476-0662
Fax: (541) 476-0541

The provider's authorized official is Bryce Austin Hendy .
The authorized official title is Owner and has the following contact phone number (541) 476-0662.

The CLIA number assigned to this NPI record is 38D2117385 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 9/29/2022.

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:

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