MEDICARE: TEMPO PHYSIOTHERAPAY 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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1144012816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMPO PHYSIOTHERAPAY LLC

Provider Business Mailing Address
First Line	:	360 E GRAND BLANC RD STE B
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-3310
Country	:	US
Telephone Number	:	517-292-9848
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 E GRAND BLANC RD STE B
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-3310
Country	:	US
Telephone Number	:	517-292-9848
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DUSTIN DOREN
Credential	:	PT
Telephone Number	:	517-292-9848

Provider Enumeration Date	:	05/20/2025
Last Update Date	:	05/20/2025

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Directions to “TEMPO PHYSIOTHERAPAY LLC ” Practice Location

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