MEDICARE: VITAL MOTION CARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1396507018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITAL MOTION CARE, PLLC

Provider Business Mailing Address
First Line	:	2831 HARRINGTON RD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-4408
Country	:	US
Telephone Number	:	248-330-4226
Fax Number	:

Provider Business Practice Location Address
First Line	:	2831 HARRINGTON RD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-4408
Country	:	US
Telephone Number	:	248-330-4226
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	BRANDON MALSON
Credential	:
Telephone Number	:	248-330-4226

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	11/27/2024

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