Organization
ACTIVE FOOT AND ANKLE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WHITNEY RAE HOLSOPPLE DPM (OWNER)
(937) 216-8958
Entity
Organization
Contact information
Practice address
138 SHAWNEE ST, GREENVILLE, OH 45331
(937) 459-5432
Mailing address
300 S DORSET RD, TROY, OH 45373-2635
(937) 875-2526
(937) 552-9880
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003402
OH
Other
Enumeration date
02/25/2008
Last updated
12/17/2019
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