Organization
ACTIVEFIT PHYSICAL THERAPY AND PERSONAL TRAINING
Active
Other names
ActiveFit Physical Therapy and Personal Training
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SWANSON (CO-OWNER)
(847) 920-7110
Entity
Organization
Contact information
Practice address
12172 S. ROUTE 47, #125, HUNTLEY, IL 60142
(847) 920-7110
(847) 920-7110
Mailing address
12172 S. ROUTE 47, #125, HUNTLEY, IL 60142
(847) 920-7110
(847) 920-7110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070020797
LICENSE NUMBER
IL
Enumeration date
09/24/2020
Last updated
09/24/2020
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