OrganizationActive
Active Feet, Foot & Ankle Health Center
NPI 1194158154 · Medical Specialty Clinic/Center · Minneapolis, MN
Provider details
- NPI number
- 1194158154
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Bryan Mohr, Dr of Podiatry
- License
- 631 (MN)
Practice location
6625 Lyndale Ave S Ste 105
Minneapolis, MN 55423-2673
Phone: (612) 788-8778
Mailing address
6625 Lyndale Ave S Ste 300
Richfield, MN 55423-2491
Registry dates
- Enumerated
- 2013-08-14
- Last updated
- 2018-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.