NPI 1598046195 · live from the CMS NPI Registry
Active Health
Chiropractor in Phoenix, AZ. National Provider Identifier 1598046195, active.
NPI record
| NPI | 1598046195 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 11011 S 48th St, Suite 108, Phoenix, AZ 85044 |
| Practice phone | 480-893-2400 |
| Enumerated | September 9, 2011 |
| Last updated | March 28, 2012 |
| Authorized official | Eric Neufang, Director Of Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Chiropractor primary | 111N00000X | 7283 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.