OrganizationActive
Heath Active Spine & Rehab LLC
NPI 1477075182 · Chiropractor · Heath, OH
Provider details
- NPI number
- 1477075182
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Michael Gustafson, Member(440) 319-5520
- License
- DC-04383 (OH)
Specialties & taxonomies
Chiropractic Providers
Practice location
838 S 30th St
Heath, OH 43056-1254
Phone: (740) 522-6300
Fax: (740) 522-6308
Approximate (ZIP-level) locationGet directions
Mailing address
838 S 30th St
Heath, OH 43056-1254
Registry dates
- Enumerated
- 2017-07-13
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.