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Organization

ACTIVE MOTION CHIROPRACTIC P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TYLER ANSON BAKER D.C. (PRESIDENT)
(402) 397-1800
Entity
Organization

Contact information

Practice address
10815 PRAIRIE BROOK RD, OMAHA, NE 68144-4827
(402) 397-1800
Mailing address
10815 PRAIRIE BROOK RD, OMAHA, NE 68144-4827
(402) 397-1800

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1545
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025728300
NE
Enumeration date
04/16/2009
Last updated
06/21/2013
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