Organization
BIODYNAMIC MANUAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M. PRUCHA (OWNER)
(850) 797-0636
Entity
Organization
Contact information
Practice address
837 MOUNT ROSE ST, RENO, NV 89509-3224
(850) 797-0636
Mailing address
837 MOUNT ROSE ST, RENO, NV 89509-3224
(850) 797-0636
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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