OrganizationActive
Active Back Support Services,llc
NPI 1124183538 · Physical Therapist · Plymouth, MI
Provider details
- NPI number
- 1124183538
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Caroline Mayer, Office Manager
- License
- 5501012727 (MI)
Practice location
9389 Haggerty Rd.
Plymouth, MI 48170
Phone: (734) 582-9770
Fax: (734) 582-9773
Mailing address
9389 Haggerty Rd.
Plymouth, MI 48170
Registry dates
- Enumerated
- 2006-12-26
- 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.