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

Active Lifestyle Chiropractic

Organization Chiropractor · NPI 1083905301

Active Lifestyle Chiropractic is a Chiropractor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011

Practice location Address checks out

16515 S 40th St Ste 129
Phoenix, AZ 85048-0558
Phone: (480) 704-1050
Fax: (480) 704-0109
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 7750 (AZ)

Record details

NPI number1083905301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Winton — Owner · (480) 704-1050
NPI enumeratedApril 20, 2011
Last updated in NPPESApril 20, 2011
Mailing address16515 S 40th St, Suite 129, Phoenix, AZ 85048-0558

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