Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Life LLC

Organization General Practice Physician · NPI 1922577659

Active Life LLC is a General Practice Physician in Columbia, Missouri. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2804 Forum Blvd Ste 1A
Columbia, MO 65203-6322
Phone: (573) 999-7805
Fax: (573) 446-4949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1922577659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Henley — Doctor · (573) 356-1876
Other names Active Life Chiropractic; Active Life Chiropractic
NPI enumeratedNovember 26, 2018
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address2804 Forum Blvd Ste 1a, Columbia, MO 65203-6322

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