OrganizationActive
Active Solutions Therapy Serv Inc
NPI 1720075880 · Orthopedic Physical Therapist · Edgewood, NM
Provider details
- NPI number
- 1720075880
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Matthew Shultz, Owner(505) 286-7838
- License
- 1666 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1 Linnie Ct
Edgewood, NM 87015-9125
Phone: (505) 286-7838
Fax: (505) 286-8025
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 896
Edgewood, NM 87015-0896
Registry dates
- Enumerated
- 2005-10-04
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.