Provider Demographics
NPI:1720785132
Name:COMPLETE MOTION THERAPY LLC
Entity Type:Organization
Organization Name:COMPLETE MOTION THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNKEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:701-367-8682
Mailing Address - Street 1:PO BOX 1074
Mailing Address - Street 2:
Mailing Address - City:CASSELTON
Mailing Address - State:ND
Mailing Address - Zip Code:58012-1074
Mailing Address - Country:US
Mailing Address - Phone:701-346-0222
Mailing Address - Fax:701-346-0223
Practice Address - Street 1:602 1ST ST N
Practice Address - Street 2:
Practice Address - City:CASSELTON
Practice Address - State:ND
Practice Address - Zip Code:58012-3305
Practice Address - Country:US
Practice Address - Phone:701-346-0222
Practice Address - Fax:701-346-0223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy