| Active Life Chiropractic, Inc. | |
|
2645 Parleys Way Salt Lake City UT 84109-1636 | |
| (801) 485-4455 | |
| (801) 485-2255 |
| Full Name | Active Life Chiropractic, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 2645 Parleys Way, Salt Lake City, Utah |
| Authorized Official Name and Position | Matthew Turner Holmes (OWNER) |
| Authorized Official Contact | 8014854455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Life Chiropractic, Inc. 2645 Parleys Way Salt Lake City UT 84109-1636 Ph: (801) 485-4455 | Active Life Chiropractic, Inc. 2645 Parleys Way Salt Lake City UT 84109-1636 Ph: (801) 485-4455 |
| NPI Number | 1487890711 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 12/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487890711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 349519-1202 (Utah) | Primary |
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