Organization
ACTIVE LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA THOMAS DC (CHIROPRACTOR/MANAGER)
(417) 597-3590
Entity
Organization
Contact information
Practice address
3250 E BATTLEFIELD ST STE P, SPRINGFIELD, MO 65804-4081
(417) 597-3590
Mailing address
3250 E BATTLEFIELD ST STE P, SPRINGFIELD, MO 65804-4081
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011013962
MO
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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