Active Life Chiropractic Health Center PC

Organization Active NPI Chiropractor · Spanish Fork, UT

NPI 1093946501 · NPPES record last updated Jul 31, 2009

Key facts

NPI
1093946501
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
7343308-1202 (UT)
Legal business name
ACTIVE LIFE CHIROPRACTIC HEALTH CENTER PC
Practice address
750 N Main St
Spanish Fork, UT 84660-1147
Phone
(801) 798-2515
Fax
(801) 798-2510
NPI assigned
Jul 31, 2009
Organization subpart
No

Authorized official

Name
Dr. Steven Earl Davis, D.C.
Title
President
Phone
(801) 798-2515

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 7343308-1202 UT Yes

Addresses

Primary practice location

750 N Main St
Spanish Fork, UT 84660-1147

Mailing address

750 N Main St
Spanish Fork, UT 84660-1147
Phone (801) 798-2515

Other providers in Spanish Fork, UT

All providers in Spanish Fork, UT · Chiropractor in Utah

Sources for this page

Verify at the official NPI Registry.