| 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 |