Mvmnt:gym

NPI #1548717895 in Sandpoint, Idaho

Provider Information

NPI Number: 1548717895
Entity Type: Organization
Organization Name: Mvmnt:gym
Primary Specialty: Physical Therapist
Enumeration Date: Sep 3, 2016
Last Updated: Sep 3, 2016

Practice Location

Address: 103 S 3RD AVE
City: Sandpoint
State: Idaho
ZIP Code: 83864-1314
Phone: (208) 263-9999

Authorized Official

Name: RYAN EGAN
Title: CEO
Phone: (208) 263-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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