OrganizationActive
360 Therapy LLC
NPI 1588282172 · Speech-Language Pathologist · Navarre, FL
Provider details
- NPI number
- 1588282172
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Authorized official
- Melissa Blake, Office Administrator
Mailing address
8418 E Bay Blvd
Navarre, FL 32566-6306
Registry dates
- Enumerated
- 2020-07-09
- Last updated
- 2021-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.