Organization
TRAVERSE MOVEMENT & PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSSE CILLAY PT, DPT (OWNER/PROVIDER)
(907) 921-1330
Entity
Organization
Contact information
Practice address
1621 TONGASS AVE STE 207, KETCHIKAN, AK 99901-6072
(907) 921-1330
(907) 931-6112
Mailing address
PO BOX 816, WARD COVE, AK 99928-0816
(907) 921-1330
(907) 931-6112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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