Martin Ventures LLC
Clinic/Center, Physical Therapy in Springfield, MO. Organization (NPI-2).
NPI number1043836588
StatusActive
Last updated in NPPESJun 21, 2020
Details
- NPI
- 1043836588
- Entity type
- Organization (NPI-2)
- Legal business name
- Martin Ventures LLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2020
- Certification date
- Jun 21, 2020
- Last updated
- Jun 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
3119 S Scenic Ave Ste BSpringfield, MO 65807-3965
Phone 417-402-0302
Mailing address
4811 W Stanford StSpringfield, MO 65802-7773
Phone 417-402-0302
Authorized official
Chance Martin
Owner
4174020302
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All 18 Physical Therapy Clinic/Center providers in Springfield · All 7,858 providers in Springfield
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