| Advanced Movement Studio | |
|
101 W Edison Ave Suite 110 Appleton WI 54915-1367 | |
| (920) 209-1662 | |
| Not Available |
| Full Name | Advanced Movement Studio |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 101 W Edison Ave, Appleton, Wisconsin |
| Authorized Official Name and Position | Andrew M Braun (FOUNDER, ATHLETIC TRAINER) |
| Authorized Official Contact | 9202091662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Movement Studio 101 W Edison Ave Suite 110 Appleton WI 54915-1367 Ph: (920) 209-1662 | Advanced Movement Studio 101 W Edison Ave Suite 110 Appleton WI 54915-1367 Ph: (920) 209-1662 |
| NPI Number | 1265816342 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265816342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 1145-39 (Wisconsin) | Primary |
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