Active Advantage Chiropractic And Sports Medicine

NPI 1134461692 - Clinic/Center - 261QR0400X

NPI Details
NPI 1134461692
Enumeration Date 03/22/2013
Last Updated 03/22/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JAMES GARRETT JAMES
Position OWNER
Phone (801) 607-1636
Fax
Practice Location
510 E 770 N
OREM UT, 84097-4101, US
Phone (801) 607-1636
Fax
Business Location
616 N 940 W
OREM UT, 84057-3652, US
Phone (801) 874-5437
Fax
Toxanomy
Taxonomy Code 261QR0400X
License State Utah
License Number 2012-27753
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According to our database, Active Advantage Chiropractic And Sports Medicine NPI is 1134461692, taxonomy code is 261QR0400X and license number is 2012-27753, license state is located at Utah. Active Advantage Chiropractic And Sports Medicine physically located at 510 E 770 N, Orem UT, 84097-4101. NPI Number 1033115704 has the healthcare provider type.

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1134461692 NPI number is provided on an as is basis without warranty of any kind. 1134461692 is maintained by the National Plan & Provider Enumeration System. The contents of Active Advantage Chiropractic And Sports Medicine are for informational purposes only.