Provider Demographics
NPI:1942947304
Name:ACTIVE AGAIN THERAPY AND WELLNESS PLLC
Entity Type:Organization
Organization Name:ACTIVE AGAIN THERAPY AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLTIS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:412-445-3386
Mailing Address - Street 1:10623 CHESTERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-1675
Mailing Address - Country:US
Mailing Address - Phone:412-445-3386
Mailing Address - Fax:
Practice Address - Street 1:10623 CHESTERWOOD DR
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-1675
Practice Address - Country:US
Practice Address - Phone:412-445-3386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty