OrganizationActive
Actionphysicaltherapyyoga&wellnesscenterinc.
NPI 1104038850 · Physical Therapist · Portage, MI
Provider details
- NPI number
- 1104038850
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Raj Sharma, President(269) 217-0670
- License
- 2379 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5811 S Westnedge Ave
Portage, MI 49002-1456
Phone: (269) 217-0670
Fax: (000) 000-0000
Approximate (ZIP-level) locationGet directions
Mailing address
3700 Swan Creek Dr
Portage, MI 49024-5519
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.