NPI 1467120774 · live from the CMS NPI Registry
Active 4 Life Chiropractic, PLLC
Chiropractor in Rockwall, TX. National Provider Identifier 1467120774, active.
NPI record
| NPI | 1467120774 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 6530 Alliance Dr Ste 130, Rockwall, TX 75032 |
| Practice phone | 469-338-5257 |
| Enumerated | September 1, 2021 |
| Last updated | September 1, 2021 |
| Authorized official | Chad Harris, Owner |
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.