Organization
ACTIVE SOLUTIONS THERAPY SERV INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SHULTZ PHD (OWNER)
(505) 286-7838
Entity
Organization
Contact information
Practice address
1 LINNIE CT, EDGEWOOD, NM 87015-9125
(505) 286-7838
(505) 286-8025
Mailing address
PO BOX 896, EDGEWOOD, NM 87015-0896
(505) 286-7838
(505) 286-8025
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1666
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E2935
—
NM
Enumeration date
10/04/2005
Last updated
06/25/2025
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