# ACTIVE HEALTH CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1518362417
- **Authorized official:** DR. JUSTIN JENKINS D.C. (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (435) 673-2700

## Contact information

- **Practice address:** 415 W TABERNACLE ST, ST GEORGE, UT 84770-3797
- **Practice address phone:** (435) 673-2700
- **Mailing address:** 415 W TABERNACLE ST, ST GEORGE, UT 84770-3797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 9052115-1202 | UT | Yes |

## Other

- **Enumeration date:** 11/04/2014
- **Last updated:** 11/04/2014