Mindful Motion Physical Therapy, LLC

NPI #1366716987 in Madison, Wisconsin

Provider Information

NPI Number: 1366716987
Entity Type: Organization
Organization Name: Mindful Motion Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 29, 2012
Last Updated: Jul 16, 2021

Practice Location

Address: 307 S LIVINGSTON ST
City: Madison
State: Wisconsin
ZIP Code: 53703-3513
Phone: (608) 250-1775

Authorized Official

Name: NATHAN DUFAULT, LAT
Title: LICENSED ATHLETIC TRAINER
Phone: (608) 250-1775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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