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NPI Code Detail

MEDICARE: PAIN & MOVEMENT SOLUTIONS, LLC

MEDICARE: PAIN & MOVEMENT SOLUTIONS, LLC
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
1225100000XPhysical Therapist1556SD

General Provider Information

NPI Number : 1073860144
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAIN & MOVEMENT SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 511 NATIONAL ST
Second Line : SUITE 101
City : BELLE FOURCHE
State : SD
Zip : 57717-1836
Country : US
Telephone Number : 605-723-0185
Fax Number : 605-723-0186
Provider Business Practice Location Address
First Line : 511 NATIONAL ST
Second Line : SUITE 101
City : BELLE FOURCHE
State : SD
Zip : 57717-1836
Country : US
Telephone Number : 605-723-0185
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JULIE L WINGEN
Credential : DPT
Telephone Number : 605-480-5149
Provider Enumeration Date : 08/08/2012
Last Update Date : 11/30/2016

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Directions to “PAIN & MOVEMENT SOLUTIONS, LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.