OrganizationActive
Active Life Physical Therapy Inc
NPI 1316145709 · Physical Therapy Clinic/Center · Prescott, AZ
Provider details
- NPI number
- 1316145709
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dayna Weary, Vice President(928) 778-2227
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
955 Black Drive
Prescott, AZ 86305
Phone: (928) 778-2227
Fax: (928) 771-9159
Approximate (ZIP-level) locationGet directions
Mailing address
980 Willow Creek Rd
Prescott, AZ 86301
Registry dates
- Enumerated
- 2007-07-06
- 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.