Provider Demographics
NPI:1144012816
Name:TEMPO PHYSIOTHERAPAY LLC
Entity type:Organization
Organization Name:TEMPO PHYSIOTHERAPAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOREN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:517-292-9848
Mailing Address - Street 1:360 E GRAND BLANC RD STE B
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-3310
Mailing Address - Country:US
Mailing Address - Phone:517-292-9848
Mailing Address - Fax:
Practice Address - Street 1:360 E GRAND BLANC RD STE B
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-3310
Practice Address - Country:US
Practice Address - Phone:517-292-9848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy