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NPI 1427233485 · live from the CMS NPI Registry

Active Chiropractic Clinic INC

Chiropractor, Sports Physician in Indianapolis, IN. National Provider Identifier 1427233485, active.

NPI record

NPI1427233485 Type 2 · organization
StatusActive
Primary specialtyChiropractor, Sports Physician 111NS0005X
Practice location5845 Sunnyside Rd, Suite 800, Indianapolis, IN 46235
Practice phone317-826-2273
EnumeratedJanuary 8, 2008
Last updatedFebruary 6, 2008
Authorized officialTimothy Kistler, President

Taxonomies and licenses

TaxonomyCodeLicense
Chiropractor, Sports Physician primary111NS0005X08001237 (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.