Organization
SANGO MOVEMENT LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN PAINE (OWNER)
(931) 326-4818
Entity
Organization
Contact information
Practice address
2862 E OLD ASHLAND CITY RD, CLARKSVILLE, TN 37043-5502
(931) 326-4818
Mailing address
2862 E OLD ASHLAND CITY RD, CLARKSVILLE, TN 37043-5502
(931) 326-4818
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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