ACTIVE ADVANTAGE CHIROPRACTIC AND SPORTS MEDICINE NPI 1134461692

NPI Information

NPI: 1134461692
Provider Name: ACTIVE ADVANTAGE CHIROPRACTIC AND SPORTS MEDICINE
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
510 E 770 N
OREM, UT
ZIP 84097
Phone: (801) 607-1636
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ACTIVE ADVANTAGE CHIROPRACTIC AND SPORTS MEDICINE is a rehabilitation clinic center in Orem, UT. ACTIVE ADVANTAGE CHIROPRACTIC AND SPORTS MEDICINE NPI is 1134461692. The provider is registered as an organization entity type.

The provider's business location address is:

510 E 770 N
OREM, UT
ZIP 84097-101
Phone: (801) 607-1636

The provider's authorized official is James Garrett Eagar .
The authorized official title is Owner and has the following contact phone number (801) 874-5437.

The enumeration date for this NPI number is 3/22/2013 and was last updated on 3/22/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	2012-27753	UTAH	Yes

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

NPI Synchronization or Removal

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