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ACTIVE LIFE CHIROPRACTIC AND SPORT LLC
NPI 1558543751
Chiropractor in Mora, MN

Active since November 29, 2007
600 UNION ST S, MORA, MN 55051(320) 225-1017 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Active Life Chiropractic And Sport Llc NPPES

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

ACTIVE LIFE CHIROPRACTIC AND SPORT LLC (NPI 1558543751) is a healthcare organization registered as a chiropractor in Mora, Minnesota and active in the NPI registry since November 2007. The organization lists Casey James Hallin, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1558543751
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE LIFE CHIROPRACTIC AND SPORT LLC
Location Address600 UNION ST SMora, MN 55051-1870
Mailing Address600 Union St SMora, MN 55051-1870
Phone(320) 225-1017
Organization SubpartNo
Authorized OfficialCasey James HallinC.e.o. · (320) 225-1017
Enumeration DateNovember 29, 2007
✔ NPI 1558543751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4735
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.
600 UNION ST S, Mora, MN 55051
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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

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 Life Chiropractic And Sport LLC's NPI number?

The NPI number for Active Life Chiropractic And Sport LLC is 1558543751. It was assigned to this organization in the NPPES registry on November 29, 2007.

Where is Active Life Chiropractic And Sport LLC located?

Active Life Chiropractic And Sport LLC is located at 600 Union St S, Mora, MN 55051. The listed phone number is (320) 225-1017.

What is Active Life Chiropractic And Sport LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Active Life Chiropractic And Sport LLC was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.