Organization
PURE MOVEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SULLIVAN PT, DPT (OWNER)
(505) 906-6683
Entity
Organization
Contact information
Practice address
1935 WARNER AVE, SANTA FE, NM 87505-5452
(505) 906-6683
Mailing address
1935 WARNER AVE, SANTA FE, NM 87505-5452
(505) 906-6683
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
12/08/2021
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