OrganizationActive
Health Elevated PLLC
NPI 1760105480 · Physical Rehabilitation Occupational Therapist · Saint Joseph, MI
Provider details
- NPI number
- 1760105480
- Entity type
- Organization
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Amy Underwood, General Partner(773) 677-8921
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1600 Niles Ave
Saint Joseph, MI 49085-1609
Phone: (773) 677-8921
Approximate (ZIP-level) locationGet directions
Mailing address
2251 E Euclid Ave
Benton Harbor, MI 49022-9210
Registry dates
- Enumerated
- 2022-09-20
- Last updated
- 2022-09-20
- Certified
- 2022-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.