Active Life Physical Therapy Inc
Organization Active NPI Physical Therapy Clinic/Center · Prescott, AZ
NPI 1316145709 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1316145709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- ACTIVE LIFE PHYSICAL THERAPY INC
- Practice address
- 955 Black Drive
Prescott, AZ 86305 - Phone
- (928) 778-2227
- Fax
- (928) 771-9159
- NPI assigned
- Jul 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Dayna Weary
- Title
- Vice President
- Phone
- (928) 778-2227
Practitioners 1
-
Bruce A. Weary, DC
National Provider Directory
Locations
957 Black Dr
Prescott, AZ 86305
Phone (928) 778-2227
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
955 Black Drive
Prescott, AZ 86305
Mailing address
980 Willow Creek Rd
#104
Prescott, AZ 86301
Phone (928) 778-2227
Other providers in Prescott, AZ
- Bryan Lawrence Abramowitz
- Benjamin Robert Abt
- Joseph R Abt
- Angelita Acosta-del Rio
- Lois Karleen Acosta
- Deborah Anne Adams-Courtland
- Eileen T Adams
- Richard Mark Adler
- Adult Residential Care Services, Inc.
- Adult Residential Care Services, Inc.
All providers in Prescott, AZ · Physical Therapy Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.