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Organization
WILLMORE WELLNESS CENTER LLC
Active
Organization
WILLMORE WELLNESS CENTER LLC
Active
Parent organization
WILLMORE WELLNESS CENTER LLC
Other names
Willmore Wellness Center LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLMORE WELLNESS CENTER LLC
Authorized official
DR. KEVIN K WILLMORE D.P.T. (OWNER)
(928) 763-0807
Entity
Organization
Contact information
Practice address
3782 HIGHWAY 95, SUITE 2, BULLHEAD CITY, AZ 86442-8124
(928) 763-0807
(928) 763-0827
Mailing address
3782 HIGHWAY 95, SUITE 2, BULLHEAD CITY, AZ 86442-8124
(928) 763-0807
(928) 763-0827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
04/06/2017
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