OrganizationActive
Altavista Healthcare Group, LLC
NPI 1699258954 · Rehabilitation Clinic/Center · Murray, UT
Provider details
- NPI number
- 1699258954
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Blanca Corrie, Ceo(210) 249-4949
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
154 E Myrtle Ave Ste 100
Murray, UT 84107-4850
Phone: (210) 249-4949
Approximate (ZIP-level) locationGet directions
Mailing address
14439 Nw Military Hwy Ste 449
Shavano Park, TX 78231-1646
Registry dates
- Enumerated
- 2018-09-12
- Last updated
- 2018-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.