OrganizationActive
Active Life Chiropractic and Sport LLC
NPI 1558543751 · Chiropractor · Mora, MN
Provider details
- NPI number
- 1558543751
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Casey Hallin, C.e.o.(320) 225-1017
- License
- 4735 (MN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Union St S
Mora, MN 55051-1870
Phone: (320) 225-1017
Street-level locationGet directions
Mailing address
600 Union St S
Mora, MN 55051-1870
Registry dates
- Enumerated
- 2007-11-29
- Last updated
- 2007-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.