OrganizationActive
Active Lifestyle Chiropractic,sc
NPI 1194801191 · Chiropractor · Wautoma, WI
Provider details
- NPI number
- 1194801191
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- David Gruszka, Doctor(920) 787-0122
- License
- 3391 (WI)
Specialties & taxonomies
Chiropractic Providers
Practice location
140 N. Townline Rd.
Wautoma, WI 54982-0246
Phone: (920) 787-0122
Fax: (920) 787-0091
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 246
Wautoma, WI 54982-0246
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.