OrganizationActive
Active Chiropractic LLC
NPI 1780851279 · Chiropractor · Bloomer, WI
Provider details
- NPI number
- 1780851279
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jacquelyn Russell, Chiropractic Assistant(715) 568-9923
- License
- 4151-012 (WI)
Specialties & taxonomies
Chiropractic Providers
Practice location
1706 York St
Suite 5
Bloomer, WI 54724-1920
Phone: (715) 568-9923
Fax: (715) 568-9924
Approximate (ZIP-level) locationGet directions
Mailing address
1706 York St
Bloomer, WI 54724-1920
Registry dates
- Enumerated
- 2008-05-13
- Last updated
- 2008-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.