NPI 1396540605 · live from the CMS NPI Registry
Active Life Integrated Health
Chiropractor in Reno, NV. National Provider Identifier 1396540605, active.
NPI record
| NPI | 1396540605 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 971 W Moana Ln, Reno, NV 89509 |
| Practice phone | 775-870-0914 |
| Enumerated | February 19, 2025 |
| Last updated | October 18, 2025 |
| Authorized official | Vernon Waldorf, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.