# ACTIVE HEALTH SERVICES, INC

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

## Provider details

- **NPI number:** 1710444658
- **Authorized official:** EMILY ROBERTS OTR/L (PRESIDENT)
- **Authorized official phone:** (479) 659-2342

## Contact information

- **Practice address:** 2220 S WALDRON RD, FORT SMITH, AR 72903-3733
- **Practice address phone:** (479) 659-2342
- **Mailing address:** 2220 S WALDRON RD, FORT SMITH, AR 72903-3733
- **Mailing address phone:** (479) 659-2342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080S0010X | Pediatric Sports Medicine Physician | — | NULL | — |
| 2080S0010X | Pediatric Sports Medicine Physician | — | — | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2019
- **Last updated:** 02/27/2019