Organization
ADVANCED MOVEMENT STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW M BRAUN LAT, CSCS, CES (FOUNDER, ATHLETIC TRAINER)
(920) 209-1662
Entity
Organization
Contact information
Practice address
101 W EDISON AVE, SUITE 110, APPLETON, WI 54915-1367
(920) 209-1662
Mailing address
101 W EDISON AVE, SUITE 110, APPLETON, WI 54915-1367
(920) 209-1662
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
1145-39
WI
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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