MEDICARE: TAP INTO MOTION PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1912622101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAP INTO MOTION PLLC

Provider Business Mailing Address
First Line	:	1849 PASEO SAN LUIS
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85635-4613
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1849 PASEO SAN LUIS
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85635-4613
Country	:	US
Telephone Number	:	520-461-9711
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAP DUONG
Credential	:
Telephone Number	:	520-461-9711

Provider Enumeration Date	:	10/10/2022
Last Update Date	:	09/05/2023

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