Organization
ACTIVE LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY MESSINGER (ADMIN)
(918) 286-2729
Entity
Organization
Contact information
Practice address
2518 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 286-2729
Mailing address
2518 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 286-2729
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/12/2008
Last updated
10/08/2008
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