ACTIVE FEET , FOOT & ANKLE HEALTH CENTER; NPI #1932493350

Contact Information

ACTIVE FEET , FOOT & ANKLE HEALTH CENTER

7501 80TH ST S
COTTAGE GROVE, MN 55016-3020

Phone: 651-459-9171
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot & Ankle	213ES0103X	48	Podiatry
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for ACTIVE FEET , FOOT & ANKLE HEALTH CENTER

NPI Number 1932493350

LBN Legal business name ACTIVE FEET , FOOT & ANKLE HEALTH CENTER

Authorized official BRYAN MOHR - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/02/2011

Last updated 11/15/2012 - About 14 years ago

Identifiers

License #

631

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ACTIVE FEET , FOOT & ANKLE HEALTH CENTER

Contact Information

Specialty

Surgery, Foot & Ankle

Durable Medical Equipment & Medical Supplies

NPI Profile & details for ACTIVE FEET , FOOT & ANKLE HEALTH CENTER

Reviews for ACTIVE FEET , FOOT & ANKLE HEALTH CENTER