OrganizationActive
Activated Performance LLC
NPI 1649853086 · Massage Therapist · Minneapolis, MN
Provider details
- NPI number
- 1649853086
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Alex Guillien, Ceo(612) 440-7187
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
34 13th Ave Ne
Minneapolis, MN 55413-1002
Phone: (612) 378-1050
Approximate (ZIP-level) locationGet directions
Mailing address
14190 Xenon St Nw Unit 8
Ramsey, MN 55303-9134
Registry dates
- Enumerated
- 2021-05-04
- Last updated
- 2021-05-04
- Certified
- 2021-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.