Active Therapeutics Institute, Pa in Minnetonka - Sports Medicine
Active Therapeutics Institute, Pa - NPI 1063570422
Active Therapeutics Institute, Pa is a Sports Medicine in Minnetonka, Minnesota. Active Therapeutics Institute, Pa practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Active Therapeutics Institute, Pa is 1063570422. The last update date is 2020-08-22.
Active Therapeutics Institute, Pa's current location address is 10500 Wayzata Blvd, Minnetonka, Minnesota. You can contact this provider via phone number 9525452225. The mailing address for Active Therapeutics Institute, Pa is 10500 Wayzata Blvd, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Therapeutics Institute, Pa |
|---|---|
| Address | 10500 Wayzata Blvd, Minnetonka, Minnesota |
| Phone Number | 9525452225 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sudit Michael |
| Credentials | DDS |
| Telephone Number | 9525452225 |
NPI Number Detail
| NPI Number | 1063570422 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10500 Wayzata Blvd |
|---|---|
| City | Minnetonka |
| State | Minnesota (MN) |
| Post Code | 553051511 |
| Phone Number | 9525452225 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2081S0010X |
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Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Active Therapeutics Institute, Pa by the Centers for Medicare & Medicaid Services?
The Active Therapeutics Institute, Pa has been issued the NPI (National Provider Identifier) 1063570422, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Active Therapeutics Institute, Pa is physically located?
The Active Therapeutics Institute, Pa is situated at the following address: 10500 Wayzata Blvd, Minnetonka, MN 553051511.
What is Active Therapeutics Institute, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Active Therapeutics Institute, Pa's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2081S0010X.
On what date did the Active Therapeutics Institute, Pa receive its 1063570422 assignment from the Centers for Medicare & Medicaid Services?
The Active Therapeutics Institute, Pa was assigned its 1063570422 by the Centers for Medicare & Medicaid Services on 2006-12-05.
As of what date was the information regarding Active Therapeutics Institute, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Active Therapeutics Institute, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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