Organization
ACTIVE SPINE & SPORT THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN JOSEPH DAVID D.C. (PRESIDENT)
(480) 726-3305
Entity
Organization
Contact information
Practice address
1445 S ARIZONA AVE STE 12, CHANDLER, AZ 85286-6509
(480) 726-3305
(480) 726-3508
Mailing address
1445 S ARIZONA AVE STE 12, CHANDLER, AZ 85286-6509
(480) 726-3055
(480) 726-3508
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7573
AZ
225100000X
Physical Therapist
6628
AZ
Other
Enumeration date
04/12/2008
Last updated
06/01/2023
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