DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ACTIVE LIFESTYLE CHIROPRACTIC,SC

Active Organization

ACTIVE LIFESTYLE CHIROPRACTIC,SC is a Chiropractor organization located in WAUTOMA, Wisconsin. NPI 1194801191 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · WAUTOMA, WI

Registration Details

NPI Number
1194801191
Provider Type
Organization
NPI Issued
Oct 31, 2006 (19.775327776818 yrs)
Last Updated
Aug 22, 2020
License
3391 (WI)

Practice Information

Address
140 N. TOWNLINE RD.
WAUTOMA, WI, 549820246
Browse WI providers · Browse ZIP 54982
Phone
9207870122
Fax
9207870091
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Organizations in WAUTOMA, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.