MEDICARE: ACTIVE HEALTH CHIROPRACTIC, PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1538671037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACTIVE HEALTH CHIROPRACTIC, PLC

Provider Business Mailing Address
First Line	:	201 CENTRE DR STE 102
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-4073
Country	:	US
Telephone Number	:	540-868-9969
Fax Number	:	540-868-9968

Provider Business Practice Location Address
First Line	:	201 CENTRE DR STE 102
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-4073
Country	:	US
Telephone Number	:	540-868-9969
Fax Number	:	540-868-9968

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	BROOKE SMITH
Credential	:
Telephone Number	:	540-868-9969

Provider Enumeration Date	:	10/25/2017
Last Update Date	:	10/25/2017

Similar Medicare Providers

1174811277 — DARRELL VOLSCHKE D.C.
Practice Location Address:

201 CENTRE DR STE 102
STEPHENS CITY, VA
22655-4073

Practice Phone: 540-868-9969
Practice Fax:

1235427337 — GRETCHEN RESCHKE D.C.
Practice Location Address:

201 CENTRE DR STE 102
STEPHENS CITY, VA
22655-4073

Practice Phone: 540-868-9969
Practice Fax:

1659921708 — ALEJANDRO GONZALEZ
Practice Location Address:

201 CENTRE DR STE 102
STEPHENS CITY, VA
22655-4073

Practice Phone: 540-227-0043
Practice Fax:

1811774565 — WAYSTONE HEALTH PLLC
Practice Location Address:

201 CENTRE DR STE 102
STEPHENS CITY, VA
22655-4073

Practice Phone: 540-227-0043
Practice Fax:

1215796016 — LINDSAY BOTTINY LICENSED MASSAGE THE
Practice Location Address:

201 CENTRE DR STE 104
STEPHENS CITY, VA
22655-4073

Practice Phone: 540-421-4484
Practice Fax:

1912738691 — MELINDA LEE DAUGHERTY LPC
Practice Location Address:

2265 WALT STEPHENS RD
JONESBORO, GA
30236-4073

Practice Phone: 678-938-6051
Practice Fax:

Directions to “ACTIVE HEALTH CHIROPRACTIC, PLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.