Organization
MODERN MOVEMENT PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYNN MARIE KOSTELECKY-BELLAND DPT (OWNER/PHYSICAL THERAPIST)
(701) 214-9739
Entity
Organization
Contact information
Practice address
1400 43RD AVE NE STE 350, BISMARCK, ND 58503-6192
(701) 214-9379
Mailing address
1400 43RD AVE NE STE 350, BISMARCK, ND 58503-6192
(701) 214-9379
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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