Active Life Chiropractic LLC
Organization Active NPI Chiropractor · Broken Arrow, OK
NPI 1053567933 · NPPES record last updated Oct 8, 2008
Key facts
- NPI
- 1053567933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ACTIVE LIFE CHIROPRACTIC LLC
- Practice address
- 2518 E Kenosha St
Broken Arrow, OK 74014-6712 - Phone
- (918) 286-2729
- NPI assigned
- Aug 12, 2008
- Organization subpart
- No
Authorized official
- Name
- Sally Messinger
- Title
- Admin
- Phone
- (918) 286-2729
Practitioners 1
-
Michael J Lau, D.C.
National Provider Directory
Locations
2518 E Kenosha St
Broken Arrow, OK 74014
Phone (918) 286-2729
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
2518 E Kenosha St
Broken Arrow, OK 74014-6712
Mailing address
2518 E Kenosha St
Broken Arrow, OK 74014-6712
Phone (918) 286-2729
Other providers in Broken Arrow, OK
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- Kathleen Ann Adams
- Carolyn Michelle Adelaide
- Amy Adesokan
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All providers in Broken Arrow, OK · Chiropractor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.