Organization
ACTIVE HEALTH CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDI OLIVA DC (OWNER)
(309) 732-6988
Entity
Organization
Contact information
Practice address
1802 W LOCUST ST, DAVENPORT, IA 52804-2326
(563) 359-4779
Mailing address
1802 W LOCUST ST, DAVENPORT, IA 52804-2326
(563) 359-4779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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