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ACTIVE LIFESTYLE CHIROPRACTIC,SC
NPI 1194801191
Chiropractor in Wautoma, WI

Active since October 31, 2006
140 N. TOWNLINE RD., WAUTOMA, WI 54982(920) 787-0122(920) 787-0091 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Active Lifestyle Chiropractic,sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE LIFESTYLE CHIROPRACTIC,SC (NPI 1194801191) is a healthcare organization registered as a chiropractor in Wautoma, Wisconsin and active in the NPI registry since October 2006. The organization lists David Michael Gruszka, Doctor, as its authorized official.

NPPES Registry Identity

NPI1194801191
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE LIFESTYLE CHIROPRACTIC,SC
Location Address140 N. TOWNLINE RD.Wautoma, WI 54982-0246
Mailing AddressPo Box 246Wautoma, WI 54982-0246 · (920) 787-0122 · Fax (920) 787-0091
Phone(920) 787-0122
Fax(920) 787-0091
Organization SubpartNo
Authorized OfficialDavid Michael GruszkaDoctor · (920) 787-0122
Enumeration DateOctober 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194801191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 3391
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

140 N. TOWNLINE RD., Wautoma, WI 54982
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Quartz.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Lifestyle Chiropractic,sc's NPI number?

The NPI number for Active Lifestyle Chiropractic,sc is 1194801191. It was assigned to this organization in the NPPES registry on October 31, 2006.

Where is Active Lifestyle Chiropractic,sc located?

Active Lifestyle Chiropractic,sc is located at 140 N. Townline Rd., Wautoma, WI 54982. The listed phone number is (920) 787-0122.

What is Active Lifestyle Chiropractic,sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Active Lifestyle Chiropractic,sc accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Quartz list Active Lifestyle Chiropractic,sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Active Lifestyle Chiropractic,sc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.