Healthcare Provider Details
I. General information
NPI: 1669058624
Provider Name (Legal Business Name): ARTISTRY IN MOTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/21/2021
Last Update Date: 03/21/2021
Certification Date: 03/21/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7005 CALLE ALMERIA NE
ALBUQUERQUE NM
87113-1094
US
IV. Provider business mailing address
108 VELARDE RD NW
ALBUQUERQUE NM
87107-6031
US
V. Phone/Fax
- Phone: 505-926-1751
- Fax:
- Phone: 505-926-1751
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARLIANNE
SCOTT
Title or Position: OWNER, DOCTOR OF PHYSICAL THERAPY
Credential: PT, DPT
Phone: 505-926-1751