Active Life Center, PLC
Organization Active NPI Chiropractor · Phoenix, AZ
NPI 1720101298 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720101298
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5929 (AZ)
- Legal business name
- ACTIVE LIFE CENTER, PLC
- Practice address
- 18777 N 32ND St
Suite 80
Phoenix, AZ 85050-3201 - Phone
- (602) 923-3563
- Fax
- (602) 923-3624
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Sheri Warren
- Title
- Office Manager
- Phone
- (602) 923-3563
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5929 | AZ | Yes |
Addresses
Primary practice location
18777 N 32ND St
Suite 80
Phoenix, AZ 85050-3201
Mailing address
18777 N 32ND St
Suite 80
Phoenix, AZ 85050-3201
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.