ACTIVE LIVING CHIROPRACTIC AND WELLNESS
NPI 1316415623
Chiropractor in Boise, ID

Q: What is Active Living Chiropractic & Wellness LLC's specialty?

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

Active since November 05, 2018

13999 W WAINWRIGHT DR STE 201, BOISE, ID 83713(208) 939-0775(208) 575-6114 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2019, Jan 3, 2019, Nov 5, 2018 (3 updates tracked since 2018).

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About Active Living Chiropractic And Wellness NPPES

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

ACTIVE LIVING CHIROPRACTIC AND WELLNESS (NPI 1316415623) is a healthcare organization registered as a chiropractor in Boise, Idaho and active in the NPI registry since November 2018. The organization lists Krysta Miller, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1316415623

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameACTIVE LIVING CHIROPRACTIC & WELLNESS LLC

Location Address13999 W WAINWRIGHT DR STE 201Boise, ID 83713-1969

Mailing Address13999 W Wainwright Dr Ste 201Boise, ID 83713-1969 · (208) 939-0775 · Fax (208) 575-6114

Phone(208) 939-0775

Fax(208) 575-6114

Organization SubpartNo

Authorized OfficialKrysta MillerBilling Specialist · (208) 939-0775

Enumeration DateNovember 5, 2018

Last NPPES UpdateFebruary 19, 20193 updates tracked since enumeration

✔ NPI 1316415623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

13999 W WAINWRIGHT DR STE 201, Boise, ID 83713

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Other Names 1

Doing Business AsActive Living Chiropractic And Wellness

Other Identifiers 1

MedicaidIDTPID012211ID

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

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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