Organization Name: | ADVANCED PHYSICAL THERAPY AND FITNESS, LLC |
NPI Number: | 1013238112 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCUS HIEB (OWNER) |
Mailing Address: | 1000 Tacoma Ave Suite 500 Bismarck |
State: | ND US |
Postal Code: | 585047093 |
Phone Number: | 7017513001 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2010 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 1551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |