# RUN LIFE PHYSICAL THERAPY AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366031734
- **Authorized official:** MICHAEL CAPPS PT, DPT, GCS (PHYSICAL THERAPIST, OWNER)
- **Authorized official phone:** (617) 412-8167

## Contact information

- **Practice address:** 44 BEAVERBROOK RD, BURLINGTON, MA 01803-1226
- **Practice address phone:** (617) 412-8167
- **Mailing address:** 44 BEAVERBROOK RD, BURLINGTON, MA 01803-1226
- **Mailing address phone:** (617) 412-8167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | Yes |
| 2251G0304X | Geriatric Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2021
- **Last updated:** 01/11/2021