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

Active Lifestyle Chiropractic, SC

Organization Chiropractor · NPI 1194801191

Active Lifestyle Chiropractic, SC is a Chiropractor in Wautoma, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

140 N Townline Rd
Wautoma, WI 54982-0246
Phone: (920) 787-0122
Fax: (920) 787-0091
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3391 (WI)

Record details

NPI number1194801191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Gruszka — Doctor · (920) 787-0122
NPI enumeratedOctober 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 246, Wautoma, WI 54982-0246

Other providers in Wautoma