NPI 1962902395 · live from the CMS NPI Registry
Active Restorative Therapeutics LLC
Chiropractor in Salem, OR. National Provider Identifier 1962902395, active.
NPI record
| NPI | 1962902395 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1880 Lancaster Dr Ne Ste 127, Salem, OR 97305 |
| Practice phone | 503-428-7539 |
| Mailing address | 777 Commercial St Se Unit 213, Salem, OR 97301 |
| Enumerated | February 12, 2018 |
| Last updated | February 12, 2018 |
| Authorized official | Joshua Sanchez, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 5744 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.