OrganizationActive
Active Physical Therapy PLC
NPI 1700104841 · Physical Therapist · Traverse City, MI
Provider details
- NPI number
- 1700104841
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Tania Santos, Member
- License
- 5501009009 (MI)
Practice location
216 Munson Ave Ste B
Traverse City, MI 49686-3099
Phone: (231) 947-3144
Fax: (231) 947-0415
Mailing address
216 Munson Ave Ste B
Traverse City, MI 49686-3099
Registry dates
- Enumerated
- 2010-05-13
- Last updated
- 2022-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.