OrganizationActive
Active Lifestyle Chiropractic
NPI 1083905301 · Chiropractor · Phoenix, AZ
Provider details
- NPI number
- 1083905301
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jennifer Winton, Owner(480) 704-1050
- License
- 7750 (AZ)
Specialties & taxonomies
Chiropractic Providers
Practice location
16515 S 40th St
Suite 129
Phoenix, AZ 85048-0558
Phone: (480) 704-1050
Fax: (480) 704-0109
Approximate (ZIP-level) locationGet directions
Mailing address
16515 S 40th St
Phoenix, AZ 85048-0558
Registry dates
- Enumerated
- 2011-04-20
- Last updated
- 2011-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.