NPI | 1689861064 |
---|---|
Doing Business As | WILLMORE WELLNESS CENTER LLC |
Entity Type | Organization |
Authorized Contact | KEVIN K WILLMORE Owner 928-763-0807 |
Organization Subpart ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2007-09-28 |
Last Update Date | 2017-04-06 |