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Active Lifestyle Chiropractic
Chiropractor in Phoenix, Arizona
NPI 1083905301

Active Lifestyle Chiropractic is a Chiropractor based in Phoenix, AZ. Active Lifestyle Chiropractic practices in Phoenix, AZ. The NPI Number for Active Lifestyle Chiropractic is 1083905301 and holds a License No. 7750 (Arizona).

The current practice location address for Active Lifestyle Chiropractic is 16515 S 40Th St, Phoenix, AZ and can be reached out via phone at 480-704-1050 and via fax at 480-704-0109.

Location: 16515 S 40Th St, Phoenix, AZ, 85048-0558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083905301
Provider Name
Active Lifestyle Chiropractic
Credential
Provider Entity Type
Organization
Address
16515 S 40Th St, Phoenix, AZ, 85048-0558
Phone Number
480-704-1050
Fax Number
480-704-0109
Provider Enumeration Date
04/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z111783 01 PTAN
institution
Provider Business Practice Location Address Details
Address
16515 S 40Th St
City
Phoenix
State
Arizona
Zip
85048-0558
Phone Number
480-704-1050
Fax Number
480-704-0109
person
Provider Business Mailing Address Details
Address
16515 S 40Th St
City
Phoenix
State
Arizona
Zip
85048-0558
Phone Number
480-704-1050
Fax Number
480-704-0109
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
7750 (Arizona)
Definition
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.
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