NPI 1174292411

Active Life Health of Marietta LLC

Organisation Physical Medicine & Rehabilitation Physician Marietta, GA

Practice location

Address: 540 Powder Springs St STE 29, Marietta, GA 30064-3549
Phone: (770) 728-8446
Fax: (770) 370-8172

Authorised official

Name: John J Rush
Title: Chairman & Chief Executive Officer
Phone: (770) 728-8446

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Georgia →

Registry record

NPI: 1174292411
Entity type: Organization
NPI issued: 9 Sep 2021
Record last updated: 13 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.