# AVANT-GARDE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Minus 250 Degrees Cryotherapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164935664
- **Authorized official:** BROCK LARSON ROBERTS (MANAGING DIRECTOR)
- **Authorized official phone:** (801) 548-3417

## Contact information

- **Practice address:** 293 E 930 S, OREM, UT 84058-5001
- **Practice address phone:** (801) 548-3417
- **Mailing address:** 293 E 930 S, OREM, UT 84058-5001
- **Mailing address phone:** (801) 548-3417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2017
- **Last updated:** 11/07/2017