Wellformed AI

NPI 1982174264 · live from the CMS NPI Registry

Active Sports And Family Chiropractic LLC

Chiropractor in Grants Pass, OR. National Provider Identifier 1982174264, active.

NPI record

NPI1982174264 Type 2 · organization
StatusActive
Primary specialtyChiropractor 111N00000X
Practice location1529 Ne F Street, Grants Pass, OR 97526
Practice phone541-476-0662
EnumeratedNovember 29, 2018
Last updatedJuly 8, 2024
Authorized officialCorey O'Neil, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Chiropractor primary111N00000X—

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