Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MINDFUL MOTION PHYSICAL THERAPY, LLC
Active
Organization
MINDFUL MOTION PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN DUFAULT LAT (LICENSED ATHLETIC TRAINER)
(608) 250-1775
Entity
Organization
Contact information
Practice address
307 S LIVINGSTON ST, MADISON, WI 53703-3513
(608) 250-1775
Mailing address
307 S LIVINGSTON ST, MADISON, WI 53703-3513
(608) 250-1775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11909-24
WI
Other
Enumeration date
02/29/2012
Last updated
07/16/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up