# ACTIVE LIFE CHIROPRACTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447621974
- **Authorized official:** DR. DANIELLE SERBUS DC (CHIROPRACTOR)
- **Authorized official phone:** (507) 616-1138

## Contact information

- **Practice address:** 726 E BRIDGE ST, REDWOOD FALLS, MN 56283-1801
- **Practice address phone:** (507) 616-1138
- **Practice address fax:** (507) 616-1139
- **Mailing address:** 726 E BRIDGE ST., REDWOOD FALLS, MN 56283-1801
- **Mailing address phone:** (507) 616-1138
- **Mailing address fax:** (507) 616-1139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 6095 | MN | Yes |

## Other

- **Enumeration date:** 10/09/2015
- **Last updated:** 10/09/2015