OrganizationActive
Active Family Chiropractic, LLC
NPI 1417311531 · Medical Specialty Clinic/Center · Willow Street, PA
Provider details
- NPI number
- 1417311531
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Barry Hazen, Sole Member/Owner(717) 947-7283
- License
- DC010513 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4 Mylin Ave
Willow Street, PA 17584-9305
Phone: (717) 947-7283
Fax: (717) 947-7284
Approximate (ZIP-level) locationGet directions
Mailing address
4 Mylin Ave
Willow Street, PA 17584-9305
Registry dates
- Enumerated
- 2016-04-06
- Last updated
- 2016-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.