Active Advantage Chiropractic and Sports Medicine
Organization Active NPI Rehabilitation Clinic/Center · Orem, UT
NPI 1134461692 · NPPES record last updated Mar 22, 2013
Key facts
- NPI
- 1134461692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- License
- 2012-27753 (UT)
- Legal business name
- ACTIVE ADVANTAGE CHIROPRACTIC AND SPORTS MEDICINE
- Practice address
- 510 E 770 N
Orem, UT 84097-4101 - Phone
- (801) 607-1636
- NPI assigned
- Mar 22, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. James Garrett Eagar, D.C., ATC
- Title
- Owner
- Phone
- (801) 874-5437
Practitioners 1
-
James Garrett Eagar, D.C., ATC
National Provider Directory
Locations
510 E 770 N
Orem, UT 84097
Phone (801) 607-1636
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 2012-27753 | UT | Yes |
Addresses
Primary practice location
510 E 770 N
Orem, UT 84097-4101
Mailing address
616 N 940 W
Orem, UT 84057-3652
Phone (801) 874-5437
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All providers in Orem, UT · Rehabilitation Clinic/Center in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2013. 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.