NPI 1205694742

Active Life Physical Therapy and Wellness LLC

Organisation Orthopedic Physical Therapist Edina, MN

Practice location

Address: 5200 Willson Rd STE 150, Edina, MN 55424-1300
Phone: (952) 232-5020

Authorised official

Name: John Bertucci
Title: Managing Member/Owner
Phone: (952) 232-5020

Registered specialties (3)

Orthopedic Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251X0800X

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Registry record

NPI: 1205694742
Entity type: Organization
NPI issued: 11 Mar 2024
Record last updated: 15 Mar 2024

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.