Organization
ADVANCED MOVEMENT & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON ELIZABETH GRAY JENSEN PT, DPT (PHYSICAL THERAPIST/OWNER)
(636) 795-9502
Entity
Organization
Contact information
Practice address
135 W 2ND ST, WINNEMUCCA, NV 89445-3406
(636) 795-9502
Mailing address
PO BOX 996, WINNEMUCCA, NV 89446-0996
(636) 795-9502
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3436
NV
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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