# ACTIVE SPINE CARE LLC

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

## Provider details

- **NPI number:** 1306109350
- **Authorized official:** MR. TODD T JANNEY SR. PT,CEAS, IPS (CEO/MANAGER)
- **Authorized official phone:** (225) 791-7788

## Contact information

- **Practice address:** 8108 PICARDY AVE STE E, BATON ROUGE, LA 70809-3514
- **Practice address phone:** (225) 819-3235
- **Practice address fax:** (225) 293-0130
- **Mailing address:** PO BOX 880, WALKER, LA 70785-0880
- **Mailing address phone:** (225) 791-7788
- **Mailing address fax:** (225) 293-0130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | LA | Yes |

## Other

- **Enumeration date:** 06/22/2012
- **Last updated:** 06/22/2012