Organization
ACTIVE LIVING PT & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB SPRUTE DPT (OWNER/PHYSICAL THERAPIST)
(509) 280-4744
Entity
Organization
Contact information
Practice address
353 W SOUTHERN HILLS RD, PHOENIX, AZ 85023-6242
(509) 280-4744
Mailing address
353 W SOUTHERN HILLS RD, PHOENIX, AZ 85023-6242
(509) 280-4744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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