Organization
ACTIVE LIFE LLC
Active
Other names
Active Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL HENLEY DC (DOCTOR)
(573) 356-1876
Entity
Organization
Contact information
Practice address
2804 FORUM BLVD STE 1A, COLUMBIA, MO 65203-6322
(573) 999-7805
(573) 446-4949
Mailing address
2804 FORUM BLVD STE 1A, COLUMBIA, MO 65203-6322
(573) 999-7805
(573) 446-4949
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
06/19/2025
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