OrganizationActive
Achieve Physical Therapy and Sports Performance, LLC
NPI 1053646646 · Specialist · Angola, IN
Provider details
- NPI number
- 1053646646
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Authorized official
- Robin Weidinger, Office Manager
- License
- 05009604A (IN)
Practice location
202 E Harcourt Rd Ste U
Angola, IN 46703-7198
Phone: (260) 665-7000
Fax: (260) 665-6480
Mailing address
Po Box 628
Angola, IN 46703-0628
Registry dates
- Enumerated
- 2009-10-15
- Last updated
- 2024-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.