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ACTIVE LIFE CHIROPRACTIC INC. NPI 1487890711


NPI Information

NPI: 1487890711
Provider Name: ACTIVE LIFE CHIROPRACTIC, INC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2645 PARLEYS WAY
SALT LAKE CITY, UT
ZIP 84109
Phone: (801) 485-4455
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ACTIVE LIFE CHIROPRACTIC, INC. is a clinic center in Salt Lake City, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ACTIVE LIFE CHIROPRACTIC, INC. NPI is 1487890711. The provider is registered as an organization entity type.

The provider's business location address is:

2645 PARLEYS WAY
SALT LAKE CITY, UT
ZIP 84109-636
Phone: (801) 485-4455
Fax: (801) 485-2255

The provider's authorized official is Matthew Turner Holmes .
The authorized official title is Owner and has the following contact phone number (801) 485-4455.

The enumeration date for this NPI number is 12/16/2008 and was last updated on 12/16/2008.


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
1261Q00000XClinic/Center349519-1202UTAHYes

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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