Active Life Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002172A Issued in IN

Legal business name

ACTIVE LIFE CHIROPRACTIC CLINIC

Practice address

920 Logan St
Ste 101
Noblesville, IN 46060-2225

Phone

(317) 776-3313

Fax

(317) 776-3312

NPI assigned

Jun 16, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth Krueger, D.C.

Title

President

Phone

(317) 776-3313

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922003847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 LOGAN ST",
            "address_2": "STE 101",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602225",
            "telephone_number": "317-776-3313",
            "fax_number": "317-776-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LOGAN ST",
            "address_2": "STE 101",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602225",
            "telephone_number": "317-776-3313",
            "fax_number": "317-776-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-776-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002172A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Absolute Wellness Chiropractic LLC
• Academy Allergy Asthma & Sinus, PC
• Accelerated Rehabilitation Centers LTD (Athletico Physical Therapy)
• Accelerated Rehabilitation Centers LTD (Athletico Physical Therapy)
• Joahnnyflor D Acero
• Christen Hope Adam, PT, WCC
• Angela Kathryn Adams, MA, CCC/SLP
• Shannon K Adams, LCSW
• Shannon Adcock, DPT
• Eric Adolph, M.D.

• Chiropractor in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.