Active Family Chiropractic Inc

Organization Active NPI Pediatric Chiropractor · Providence, UT

NPI 1255844239 · NPPES record last updated Aug 4, 2022

Key facts

NPI
1255844239
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Chiropractor 111NP0017X
Legal business name
ACTIVE FAMILY CHIROPRACTIC INC
Practice address
550 W 465 N Unit 502
Providence, UT 84332-8015
Phone
(435) 232-0732
Fax
(435) 514-1814
NPI assigned
Nov 13, 2017
Organization subpart
No

Authorized official

Name
Dr. Stephanie A Hoglund, DC
Title
Owner
Phone
(435) 232-0732

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

550 W 465 N
Unit 502
Providence, UT 84332
Phone (435) 232-0732

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 65098601202 UT
Pediatric Chiropractor
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
111NP0017X Yes

Addresses

Primary practice location

550 W 465 N Unit 502
Providence, UT 84332-8015

Mailing address

550 W 465 N Unit 502
Providence, UT 84332-8015
Phone (435) 232-0732

Other names

  • Active Family Chiropractic Doing business as

Other providers in Providence, UT

All providers in Providence, UT · Pediatric Chiropractor in Utah

Sources for this page

Verify at the official NPI Registry.