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Organization

ACTIVE LIFE CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALESHA KAY WILLIS DC (MANAGER)
(404) 790-5664
Entity
Organization

Contact information

Practice address
9370 S COLORADO BLVD, #A-10, HIGHLANDS RANCH, CO 80126-5205
(303) 471-9355
(720) 306-8987
Mailing address
PO BOX 630821, LITTLETON, CO 80163-0821
(404) 790-5664
(720) 306-8987

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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