# ACTIVE FOOT AND ANKLE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023287935
- **Authorized official:** DR. WHITNEY RAE HOLSOPPLE DPM (OWNER)
- **Authorized official phone:** (937) 216-8958

## Contact information

- **Practice address:** 138 SHAWNEE ST, GREENVILLE, OH 45331
- **Practice address phone:** (937) 459-5432
- **Mailing address:** 300 S DORSET RD, TROY, OH 45373-2635
- **Mailing address phone:** (937) 875-2526
- **Mailing address fax:** (937) 552-9880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003402 | OH | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 12/17/2019
