Organization
ACTIVECARE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAIJA MICHON JOHNSON DC (PRESIDENT)
(320) 763-0313
Entity
Organization
Contact information
Practice address
1804 BROADWAY ST STE 125, ALEXANDRIA, MN 56308-2686
(320) 763-0313
(320) 763-6534
Mailing address
1804 BROADWAY ST STE 125, ALEXANDRIA, MN 56308-2686
(320) 763-0313
(320) 763-4635
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MN4390
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894656600
—
MN
Enumeration date
10/17/2006
Last updated
05/19/2025
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