ACTIVE FEET LLC NPI 1750686747

NPI Information

NPI: 1750686747
Provider Name: ACTIVE FEET LLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
7250 FRANCE AVE S
SUITE 415
EDINA, MN
ZIP 55435
Phone: (952) 926-3566
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ACTIVE FEET LLC is a podiatric clinic center in Edina, MN. ACTIVE FEET LLC NPI is 1750686747. The provider is registered as an organization entity type.

The provider's business location address is:

7250 FRANCE AVE S
SUITE 415
EDINA, MN
ZIP 55435-305
Phone: (952) 926-3566
Fax: (952) 929-3358

The provider's authorized official is Stacey Lee White .
The authorized official title is Owner and has the following contact phone number (612) 240-6028.

The enumeration date for this NPI number is 1/21/2011 and was last updated on 2/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	595	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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