OrganizationActive
Live Healthy PA
NPI 1750759072 · Adult Medicine Physician · Apple Valley, MN
Provider details
- NPI number
- 1750759072
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Christopher Massoglia, President
- License
- 2728 (MN)
Practice location
7300 147th St W
Unit 304
Apple Valley, MN 55124-7541
Phone: (952) 431-5330
Fax: (651) 528-6882
Mailing address
7300 147th St W
Apple Valley, MN 55124-7541
Registry dates
- Enumerated
- 2015-09-02
- Last updated
- 2016-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.