Organization
ACTIVE HEALTH CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD A DECKLEVER D.C. (OWNER)
(970) 226-6556
Entity
Organization
Contact information
Practice address
1112 OAKRIDGE DR, SUITE 113, FORT COLLINS, CO 80525-6255
(970) 226-6556
(970) 226-6776
Mailing address
1112 OAKRIDGE DR, SUITE 113, FORT COLLINS, CO 80525-6255
(970) 226-6556
(970) 226-6776
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5229
CO
Other
Enumeration date
04/09/2007
Last updated
11/26/2007
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